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Individual
EDWARD THEODORE YSUNZA IV
Active
Individual
EDWARD THEODORE YSUNZA IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP170018
OR
Other
Enumeration date
04/11/2011
Last updated
03/10/2016
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