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1093215139
JOSE LUIS FENEQUE
SAN JUAN, PR
NPI
1093215139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PR 6163844)
Enumeration Date
2018-02-15
Last Update Date
2018-02-15
Business Address
Mr. JOSE LUIS FENEQUE
1156 CALLE 62 SE
SAN JUAN, PR 00921-2724
Phone number: 787-758-2525
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Mailing Address
Mr. JOSE LUIS FENEQUE
RR 2 BOX 2847
ANASCO, PR 00610-9416
Phone number: 787-236-0264
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