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1558051367
ULISES ERNESTO CARBALLOSA FERNANDEZ
CLEVELAND, OH
NPI
1558051367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH RES.004578)
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
ULISES ERNESTO CARBALLOSA FERNANDEZ
4071 LEE RD STE 260
CLEVELAND, OH 44128-2173
Phone number: 216-727-1164
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Mailing Address
ULISES ERNESTO CARBALLOSA FERNANDEZ
8201 BYRON AVE APT 305
MIAMI BEACH, FL 33141-4922
Phone number:
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