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Individual
YARELIS L LEBRON-BULTRON
Active
Individual
YARELIS L LEBRON-BULTRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
005495
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140539
REGISTRY NUMBER
PR
Enumeration date
05/10/2019
Last updated
05/10/2019
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