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1104035922
MAYRA LISSETTE DELVALLE
SAN SEBASTIAN, PR
NPI
1104035922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 12169)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Mrs. MAYRA LISSETTE DELVALLE M.D.
901 AVE EMERITO ESTRADA
SAN SEBASTIAN, PR 00685-3000
Phone number: 787-280-1650
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Mailing Address
Mrs. MAYRA LISSETTE DELVALLE M.D.
PO BOX 4968
AGUADILLA, PR 00605-4968
Phone number: 787-235-7364
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