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1912301466
KYLE LIBAN
NEW YORK, NY
NPI
1912301466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018148)
Enumeration Date
2014-10-13
Last Update Date
2014-10-13
Business Address
-- KYLE LIBAN
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
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Mailing Address
-- KYLE LIBAN
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 212-746-5454
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