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1205244092
RAUL LASTIMOSA
ELKHART, KS
NPI
1205244092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KS 0439836)
Enumeration Date
2014-07-24
Last Update Date
2018-04-05
Business Address
RAUL LASTIMOSA M.D.
411 SUNSET ST
ELKHART, KS 67950-5001
Phone number: 620-697-2175
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Mailing Address
RAUL LASTIMOSA M.D.
888 GRAND CONCOURSE
BRONX, NY 10451-2802
Phone number:
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