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Individual
CASMIR EZIM
Active
Individual
CASMIR EZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5668
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
41000363A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E5668
CA PODIATRY LICENSE
CA
Enumeration date
06/26/2017
Last updated
09/29/2021
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