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1124080965
JAIRO A VEDRA
OCEANSIDE, NY
NPI
1124080965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 226851)
Enumeration Date
2006-04-05
Last Update Date
2007-07-08
Business Address
-- JAIRO A VEDRA
2446 WASHINGTON AVE
OCEANSIDE, NY 11572
Phone number: 516-536-0946
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Mailing Address
-- JAIRO A VEDRA
2446 WASHINGTON AVE
OCEANSIDE, NY 11572
Phone number: 516-536-0946
Copy
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