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1942359823
LICORISH MEDICAL CORPORATION
GARDEN GROVE, CA
NPI
1942359823
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Entity Type
Organization
Authorized Contact
KENRICK ANTHONY LICORISH
CEO
714-523-3154
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-01-09
Last Update Date
2020-08-22
Business Address
LICORISH MEDICAL CORPORATION
8803 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844-1211
Phone number: 714-523-3154
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Mailing Address
LICORISH MEDICAL CORPORATION
8803 GARDEN GROVE BLVD
GARDEN GROVE, CA 92844-1211
Phone number: 714-523-3154
Copy
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