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1740361518
PAUL JOHN LICATA
ANAHEIM, CA
NPI
1740361518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA a25662)
Enumeration Date
2006-10-18
Last Update Date
2022-07-21
Business Address
Dr. PAUL JOHN LICATA M.D.
1717 E LINCOLN AVE
ANAHEIM, CA 92805-4345
Phone number: 714-635-2642
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Mailing Address
Dr. PAUL JOHN LICATA M.D.
16702 VALLEY VIEW AVE
LA MIRADA, CA 90638-5824
Phone number: 714-367-5360
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