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1295938660
ELY DECLET
RIO PIEDRAS, PR
NPI
1295938660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: PR 12351)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
Dr. ELY DECLET MD
STREET TENIENTE CESAR GONSALEZ 1106
RIO PIEDRAS, PR 00928
Phone number: 787-785-3875
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Mailing Address
Dr. ELY DECLET MD
STREET PELICANO URB. MANSIONES DEL MAR MM108
TOA BAJA, PR 00949
Phone number: 787-261-3449
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