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Individual
LIORRA EZRA
Active
Individual
LIORRA EZRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019356
NY
Other
Enumeration date
11/12/2015
Last updated
11/06/2018
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