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1194408179
ILEANA S. FASICK FUMERO
SAN JUAN, PR
NPI
1194408179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: PR 7693)
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
ILEANA S. FASICK FUMERO MSCP
1704 CALLE PARANA
SAN JUAN, PR 00926-3160
Phone number: 787-300-1015
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Mailing Address
ILEANA S. FASICK FUMERO MSCP
100 CALLE PRINCIPE GUILLERMO
GUAYNABO, PR 00969-5332
Phone number: 787-300-1015
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