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1205907862
JOSE R MATIAS
SAN JUAN, PR
NPI
1205907862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: PR 4002)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- JOSE R MATIAS
10 CALLE CASIA
SAN JUAN, PR 00921-3200
Phone number: 787-641-7582
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Mailing Address
-- JOSE R MATIAS
121 CALLE GARDENIA ESTANCIAS DE LA FUENTE
TOA ALTA, PR 00953-3684
Phone number:
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