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1629679808
JORGE LICANO
ALBUQUERQUE, NM
NPI
1629679808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-11-04
Last Update Date
2024-04-01
Business Address
JORGE LICANO MD
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-4661
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Mailing Address
JORGE LICANO MD
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-4661
Copy
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