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1134263247
MYRIANLEE COSTAS
SAN JUAN, PR
NPI
1134263247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PR 2391)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- MYRIANLEE COSTAS Ph.D.
7 CALLE GUARIONEX
SAN JUAN, PR 00918-4431
Phone number: 787-767-3655
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Mailing Address
-- MYRIANLEE COSTAS Ph.D.
COND. AVENTURA APT. 6609
TRUJILLO ALTO, PR 00976
Phone number: 787-599-6572
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