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1912451485
LUIS A PROANO-DURAN
JAMAICA, NY
NPI
1912451485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 189815-1)
Enumeration Date
2016-08-12
Last Update Date
2016-08-12
Business Address
-- LUIS A PROANO-DURAN MD
17325 JAMAICA AVE
JAMAICA, NY 11432-5523
Phone number: 718-657-4000
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Mailing Address
-- LUIS A PROANO-DURAN MD
17325 JAMAICA AVE
JAMAICA, NY 11432-5523
Phone number:
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