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1154430825
JOSE ANGEL BLANCO DE JESUS
PONCE, PR
NPI
1154430825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: PR 10080)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Mr. JOSE ANGEL BLANCO DE JESUS MD
1255 TITO CASTRO AVE PLAZA LAS MONJITAS SUITE 204
PONCE, PR 00730
Phone number: 787-844-7336
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Mailing Address
Mr. JOSE ANGEL BLANCO DE JESUS MD
2060 COLINA ST URB VALLE ALTO
PONCE, PR 00730-4139
Phone number: 787-259-2496
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