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1104033380
VICTOR LUIS FONSECA BAEZ
GUAYNABO, PR
NPI
1104033380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: PR 1556P)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- VICTOR LUIS FONSECA BAEZ 1556P
90 CALLE SAN MARTIN
GUAYNABO, PR 00968-1400
Phone number: 787-754-2550
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Mailing Address
-- VICTOR LUIS FONSECA BAEZ 1556P
PO BOX 2161
SAN JUAN, PR 00922-2161
Phone number: 787-754-2550
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