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1083246086
BRYAN OMAR ORTIZ VARGAS
FLUSHING, NY
NPI
1083246086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-02-07
Last Update Date
2022-05-12
Business Address
BRYAN OMAR ORTIZ VARGAS
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-2000
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Mailing Address
BRYAN OMAR ORTIZ VARGAS
HC 5 BOX 56835
AGUADILLA, PR 00603-9156
Phone number: 787-206-3476
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