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1194254896
ERNESTO LICON
ORANGE, CA
NPI
1194254896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA A160205)
Enumeration Date
2017-06-06
Last Update Date
2023-03-07
Business Address
Dr. ERNESTO LICON MD
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-880-2911
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Mailing Address
Dr. ERNESTO LICON MD
200 S MANCHESTER AVE STE 300
ORANGE, CA 92868-3219
Phone number: 714-456-2986
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