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1043842081
CARLOS XAVIER VEGA MONTES
BETHLEHEM, PA
NPI
1043842081
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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
2020-02-07
Last Update Date
2020-02-07
Business Address
CARLOS XAVIER VEGA MONTES
60 W BROAD ST
BETHLEHEM, PA 18018-5737
Phone number: 787-901-1036
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Mailing Address
CARLOS XAVIER VEGA MONTES
3302 CENTER ST. APARTMENT 10
WHITEHALL, PA 18052
Phone number: 787-901-1036
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