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Individual

ELEANOR JALIPA CANOS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 872-7388
(513) 872-7385
Mailing address
2368 VICTORY PKWY, SUITE 501, CINCINNATI, OH 45206-2859
(513) 872-7388
(513) 872-7385

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35042390
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0377793
OH
05
64763329
KY
Enumeration date
06/09/2006
Last updated
07/08/2007
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