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Individual

MAYRA GARIBAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
10755 163RD PL, ORLAND PARK, IL 60467-8861
(708) 873-1187
Mailing address
10755 163RD PL, ORLAND PARK, IL 60467-8861
(708) 873-1187

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008881
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/04/2021
Last updated
03/12/2024
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