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1639325947
LISANDRO G CARNERO VIDAL
ANN ARBOR, MI
NPI
1639325947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4301092925)
Enumeration Date
2008-08-18
Last Update Date
2008-08-18
Business Address
Dr. LISANDRO G CARNERO VIDAL M.D.
1500 E MEDICAL CENTER DR 2207 TC, SPC 5342
ANN ARBOR, MI 48109-5000
Phone number: 734-936-5733
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Mailing Address
Dr. LISANDRO G CARNERO VIDAL M.D.
1500 E MEDICAL CENTER DR 2207 TC, SPC 5342
ANN ARBOR, MI 48109-5000
Phone number: 734-936-5733
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