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Individual
LISET ESTANISLAO
Active
Individual
LISET ESTANISLAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34-013087
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
34-013087
OH
2080P0205X
Pediatric Endocrinology Physician
34.013087
OH
Other
Enumeration date
05/04/2012
Last updated
01/03/2018
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