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Individual

JAVIER IRIBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(800) 741-8387
Mailing address
7284 CEDARWOOD PL, HIGHLAND, CA 92346-5423

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22650
CA

Other

Enumeration date
10/06/2021
Last updated
10/06/2021
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