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1861170961
ABDON BALTAZAR BONILLA CAMPOS
NEW YORK, NY
NPI
1861170961
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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
2023-07-07
Last Update Date
2023-07-09
Business Address
ABDON BALTAZAR BONILLA CAMPOS MD
1901 1ST AVE
NEW YORK, NY 10029-7491
Phone number: 212-423-6262
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Mailing Address
ABDON BALTAZAR BONILLA CAMPOS MD
718 W 178TH ST APT 25
NEW YORK, NY 10033-6439
Phone number: 571-376-1379
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