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Individual

MR. ULISES LISANDRO NOBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
16710
PR
2084N0400X
Neurology Physician
58763
TN
2084N0400X
Neurology Physician
E-12082
AR
2084P0800X
Psychiatry Physician
26512
MS

Other

Enumeration date
01/16/2007
Last updated
11/21/2024
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