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1013416593
JOSE RAMON LARA
BROOKLYN, NY
NPI
1013416593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 308492)
Enumeration Date
2018-02-09
Last Update Date
2021-08-10
Business Address
Mr. JOSE RAMON LARA NP-C
803 STERLING PL
BROOKLYN, NY 11216-3903
Phone number: 855-681-8700
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Mailing Address
Mr. JOSE RAMON LARA NP-C
122 NORTHCREEK DR
DURHAM, NC 27707-3360
Phone number: 956-763-9216
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