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Organization

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Active
Parent organization
MARLON A LEMUS FOUNDATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARLON A LEMUS FOUNDATION
Authorized official
BLONSKY BATALIEN BSW (CEO)
(786) 490-1022
Entity
Organization

Contact information

Practice address
111 E FLAGLER ST APT 404, MIAMI, FL 33131-1107
(786) 490-1022
(561) 490-1022
Mailing address
111 E FLAGLER ST APT 404, MIAMI, FL 33131-1107
(786) 490-1022
(561) 490-1022

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
05/29/2018
Last updated
05/29/2018
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