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1457022766
JAIME OMAR HERRERA CACERES
CAMP HILL, PA
NPI
1457022766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: NY 311370)
Additional Taxonomies
208800000X Urology
(Licence: PA LT000895)
Enumeration Date
2021-09-26
Last Update Date
2021-09-26
Business Address
JAIME OMAR HERRERA CACERES MD, MSc
503 N 21ST ST
CAMP HILL, PA 17011-2204
Phone number: 717-763-2100
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Mailing Address
JAIME OMAR HERRERA CACERES MD, MSc
1939 N 2ND ST APT 2
HARRISBURG, PA 17102-2155
Phone number: 646-975-1496
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