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1376936476
LIBERTY MACIAS
LOMA LINDA, CA
NPI
1376936476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95002264)
Enumeration Date
2015-03-13
Last Update Date
2023-12-01
Business Address
LIBERTY MACIAS PMHNP-BC
10459 MOUNTAIN VIEW AVE STE E
LOMA LINDA, CA 92354-2033
Phone number: 909-792-6262
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Mailing Address
LIBERTY MACIAS PMHNP-BC
PO BOX 1303
LOMA LINDA, CA 92354-1303
Phone number: 909-894-4846
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