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1932212024
EDGAR JONATHAN LISANSKY
ALBUQUERQUE, NM
NPI
1932212024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NM 84-212)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
DR. EDGAR JONATHAN LISANSKY MD
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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Mailing Address
DR. EDGAR JONATHAN LISANSKY MD
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
Copy
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