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1306897780
JESUS LOMIBAO LICUANAN
BUENA PARK, CA
NPI
1306897780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
JESUS LOMIBAO LICUANAN M.D.
6131 ORANGETHORPE AVE SUITE 215
BUENA PARK, CA 90620-1315
Phone number: 714-521-1700
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Mailing Address
JESUS LOMIBAO LICUANAN M.D.
6131 ORANGETHORPE AVE SUITE 215
BUENA PARK, CA 90620-1315
Phone number: 714-521-1700
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