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1194039271
MIRTA CARABALLO
GUAYANILLA, PR
NPI
1194039271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-08-02
Last Update Date
2010-08-02
Business Address
-- MIRTA CARABALLO
ORQUIDEA ST SEGUNDA EXTENSION SANTA ELENA 00656 B3
GUAYANILLA, PR 00656-0000
Phone number: 787-835-3083
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Mailing Address
-- MIRTA CARABALLO
ORQUIDEA ST SEGUNDA EXTENSION SANTA ELENA 00656 B3
GUAYANILLA, PR 00656
Phone number: 787-835-3083
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