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Organization
PROPHETE MEDICAL CORPORATION
Active
Organization
PROPHETE MEDICAL CORPORATION
Active
Other names
Liautaud Morin Prophete
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIAUTAUD MORIN PROPHETE SR. D.O. (PRESIDENT)
(209) 826-4771
Entity
Organization
Contact information
Practice address
502 WASHINGTON AVE, LOS BANOS, CA 93635-4649
(209) 826-4771
(209) 826-8565
Mailing address
PO BOX 2236, LOS BANOS, CA 93635-2236
(209) 826-4771
(209) 826-8565
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A9842
CA
Other
Enumeration date
09/18/2007
Last updated
03/25/2019
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