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1104174580
LISA MARIE PEREZ
NEW YORK, NY
NPI
1104174580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-08-16
Last Update Date
2012-08-16
Business Address
-- LISA MARIE PEREZ
5030 BROADWAY STE 201
NEW YORK, NY 10034-1611
Phone number: 212-795-9888
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Mailing Address
-- LISA MARIE PEREZ
1581 PARK AVE APT 10A
NEW YORK, NY 10029-1834
Phone number: 212-289-4056
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