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1871266171
RAUL LOPEZ FANAS
BRONX, NY
NPI
1871266171
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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
2021-08-01
Last Update Date
2021-08-01
Business Address
RAUL LOPEZ FANAS MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-9892
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Mailing Address
RAUL LOPEZ FANAS MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number:
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