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1407829641
JOHN LICCIARDONE
FORT WORTH, TX
NPI
1407829641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: TX H3103)
Enumeration Date
2006-02-08
Last Update Date
2008-03-04
Business Address
Dr. JOHN LICCIARDONE D.O.
UNTHSC PATIENT CARE CENTER 999 MONTGOMERY
FORT WORTH, TX 76107
Phone number: 817-735-2235
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Mailing Address
Dr. JOHN LICCIARDONE D.O.
UNTHSC DEPT. OF QUALITY MANAGEMENT 3500 CAMP BOWIE BLVD., EAD 324
FORT WORTH, TX 76107
Phone number: 817-735-0170
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