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1235832163
KENNETH SHAQUILLE VAZQUEZ
BAYAMON, PR
NPI
1235832163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
KENNETH SHAQUILLE VAZQUEZ
100 AVE LAUREL
BAYAMON, PR 00956-4816
Phone number: 787-579-5581
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Mailing Address
KENNETH SHAQUILLE VAZQUEZ
CARR #2 KM 8.2 JUAN SANCHEZ
BAYAMON, PR 00960
Phone number: 787-579-5581
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