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1346060506
RICARDO LICONA
SAN DIEGO, CA
NPI
1346060506
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Other Name
RICKY LICONA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
RICARDO LICONA RD
3984 EPSILON ST
SAN DIEGO, CA 92113-4222
Phone number: 858-301-4946
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Mailing Address
RICARDO LICONA RD
3984 EPSILON ST
SAN DIEGO, CA 92113-4222
Phone number: 858-301-4946
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