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1245089143
CARLOS JACOB LOPEZ MALDONADO
PONCE, PR
NPI
1245089143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-14
Last Update Date
2024-05-14
Business Address
CARLOS JACOB LOPEZ MALDONADO
PHSU, 388 ZONA INDUSTRIAL REPARADA 2, PONCE, PR 00716
PONCE, PR 00716
Phone number: 787-840-2575
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Mailing Address
CARLOS JACOB LOPEZ MALDONADO
PO BOX 7004
PONCE, PR 00732-7004
Phone number: 787-840-2575
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