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1003860453
LIBERTY LOMELI
PORTERVILLE, CA
NPI
1003860453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA15082)
Enumeration Date
2006-05-20
Last Update Date
2011-11-01
Business Address
-- LIBERTY LOMELI PA-C
1107 WEST POPLAR AVE.
PORTERVILLE, CA 93257-5839
Phone number: 559-781-7242
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Mailing Address
-- LIBERTY LOMELI PA-C
305 EAST CENTER AVENUE
VISALIA, CA 93291-6331
Phone number: 559-734-4700
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