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1366438574
JOHNNY A LIQUETE
MORENO VALLEY, CA
NPI
1366438574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A49014)
Enumeration Date
2005-09-22
Last Update Date
2011-07-18
Business Address
-- JOHNNY A LIQUETE MD
14114 BUSINESS CENTER DR SUITE D
MORENO VALLEY, CA 92553-9113
Phone number: 951-697-1150
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Mailing Address
-- JOHNNY A LIQUETE MD
PO BOX 8838
MORENO VALLEY, CA 92552-8838
Phone number: 951-697-1150
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