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Individual
EMMANUEL ISAAC BAHAMONDE
Active
Individual
EMMANUEL ISAAC BAHAMONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME139931
FL
390200000X
Student in an Organized Health Care Education/Training Program
19455
PR
Other
Enumeration date
03/24/2014
Last updated
09/14/2023
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