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1407580376
LIBERTY GILBERT MABENA
LOMA LINDA, CA
NPI
1407580376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95020367)
Enumeration Date
2022-07-14
Last Update Date
2022-07-16
Business Address
LIBERTY GILBERT MABENA
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4000
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Mailing Address
LIBERTY GILBERT MABENA
19171 PEMBERTON PL
RIVERSIDE, CA 92508-6010
Phone number: 951-707-5834
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