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1841683406
KO GENG LIUO
SANTA ANA, CA
NPI
1841683406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95001948)
Enumeration Date
2015-03-06
Last Update Date
2017-01-11
Business Address
-- KO GENG LIUO
1200 N MAIN ST #650
SANTA ANA, CA 92701-3640
Phone number: 714-824-8140
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Mailing Address
-- KO GENG LIUO
35 FIELD #650
IRVINE, CA 92620-3345
Phone number: 949-981-4515
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