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1407151707
VICTOR BUENAVENTURA VILLACORTE MEDINA
RIVERSIDE, CA
NPI
1407151707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A114025)
Enumeration Date
2011-01-18
Last Update Date
2021-12-06
Business Address
Dr. VICTOR BUENAVENTURA VILLACORTE MEDINA M.D.
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 951-353-3844
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Mailing Address
Dr. VICTOR BUENAVENTURA VILLACORTE MEDINA M.D.
32390 WINDEMERE DR
LAKE ELSINORE, CA 92532-2541
Phone number: 805-477-8694
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