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1164707568
GRISELLE COLLAZO
SAN JUAN, PR
NPI
1164707568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: PR 1104)
Enumeration Date
2011-10-17
Last Update Date
2011-10-17
Business Address
Mrs. GRISELLE COLLAZO O.T.
CALLE MAYAGUEZ #214
SAN JUAN, PR 00917
Phone number: 787-957-6327
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Mailing Address
Mrs. GRISELLE COLLAZO O.T.
COL. PROVIDENCIA CALLE LAS ROSAS #29 P.O BOX 987
PATILLAS, PUERTO RICO 00723
Phone number: 787-360-2493
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