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1013449511
LUIS ANDRES BISBAL-MATOS
SAN JUAN, PR
NPI
1013449511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-03
Last Update Date
2017-04-03
Business Address
-- LUIS ANDRES BISBAL-MATOS
10 CASIA STREET
SAN JUAN, PR 00921-3201
Phone number: 787-641-7582
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Mailing Address
-- LUIS ANDRES BISBAL-MATOS
10 CASIA STREET
SAN JUAN, PR 00921-3201
Phone number: 787-641-7582
Copy
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