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Organization
LIBERTY MEDICAL,SUPPLY CO
Active
Organization
LIBERTY MEDICAL,SUPPLY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLABISI ADEBOWALE (DIRECTOR)
(951) 924-8500
Entity
Organization
Contact information
Practice address
24877 SUNNYMEAD BLVD, MORENO VALLEY, CA 92553-3702
(951) 924-8500
(951) 924-0151
Mailing address
24877 SUNNYMEAD BLVD, MORENO VALLEY, CA 92553-3702
(951) 924-8500
(951) 924-0151
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46993
CA
Other
Enumeration date
04/02/2007
Last updated
12/14/2007
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