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1578630349
JIMMY P LIBOON
ANAHEIM, CA
NPI
1578630349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12111)
Enumeration Date
2006-11-29
Last Update Date
2021-11-30
Business Address
JIMMY P LIBOON PA
441 N LAKEVIEW AVE
ANAHEIM, CA 92807-3028
Phone number: 888-988-2800
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Mailing Address
JIMMY P LIBOON PA
441 N LAKEVIEW AVE
ANAHEIM, CA 92807-3028
Phone number: 888-988-2800
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