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1003035700
IVELISSE BLASINI
JUANA DIAZ, PR
NPI
1003035700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: PR 4289)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- IVELISSE BLASINI RPH
STATE 149 & STATE 584 PLAZA JUANA DIAZ CARR.14 INR.CARR, 584
JUANA DIAZ, PR 00795
Phone number: 787-260-1544
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Mailing Address
-- IVELISSE BLASINI RPH
STATE 149 & STATE 584
JUANA DIAZ, PR 00795
Phone number: 787-260-1544
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