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1063625838
IVAN D AGOSTO CRUZ
GUAYNABO, PR
NPI
1063625838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: PR 006B)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
-- IVAN D AGOSTO CRUZ 006B
90 CALLE SAN MARTIN
GUAYNABO, PR 00968-1400
Phone number: 787-754-2550
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Mailing Address
-- IVAN D AGOSTO CRUZ 006B
PO BOX 2161
SAN JUAN, PR 00922-2161
Phone number: 787-754-2550
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