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1164916417
CHRISTOPHER DAVID BERREZUETA REINOSO
LAKELAND, FL
NPI
1164916417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME147239)
Enumeration Date
2018-06-20
Last Update Date
2020-10-07
Business Address
Dr. CHRISTOPHER DAVID BERREZUETA REINOSO MD
206 N FLORIDA AVE
LAKELAND, FL 33801-4902
Phone number: 863-209-7003
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Mailing Address
Dr. CHRISTOPHER DAVID BERREZUETA REINOSO MD
1605 N CEDAR CREST BLVD STE 411
ALLENTOWN, PA 18104-2323
Phone number: 610-969-1917
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