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1245655240
LA LIBERTAD MEDICAL CLINIC INC
HUNTINGTON PARK, CA
NPI
1245655240
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Entity Type
Organization
Authorized Contact
RICARDO E CHAMBI
Director
323-277-9455
Organization Subpart ?
Yes
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2014-02-27
Last Update Date
2014-02-27
Business Address
LA LIBERTAD MEDICAL CLINIC INC
7900 PACIFIC BLVD
HUNTINGTON PARK, CA 90255-6662
Phone number: 323-277-9455
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Mailing Address
LA LIBERTAD MEDICAL CLINIC INC
PO BOX 3429
HUNTINGTON PARK, CA 90255-2329
Phone number: 323-277-9455
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