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1295098564
KERON LEZAMA
BRONX, NY
NPI
1295098564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-06-20
Last Update Date
2012-06-20
Business Address
-- KERON LEZAMA M.D.
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
-- KERON LEZAMA M.D.
100 HAVEN AVE APT 23D
NEW YORK, NY 10032-2645
Phone number: 617-447-4718
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