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1003250630
OMAR ALEXIS MIRANDA
SAN JUAN, PR
NPI
1003250630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: PR 1843)
Enumeration Date
2013-04-25
Last Update Date
2015-06-26
Business Address
Mr. OMAR ALEXIS MIRANDA LND
STREET 1 B-12 URB. COLINAS VERDES
SAN JUAN, PR 00924-5311
Phone number: 787-752-3928
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Mailing Address
Mr. OMAR ALEXIS MIRANDA LND
STREET 1 B-12 URB. COLINAS VERDES
SAN JUAN, PR 00924
Phone number: 787-752-3928
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