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1295968915
MARISELL BURGOS MERCADO
SAN JUAN, PR
NPI
1295968915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PR 2047)
Enumeration Date
2009-08-27
Last Update Date
2020-01-26
Business Address
Dr. MARISELL BURGOS MERCADO Ph.D.
1290 CALLE 54 SE
SAN JUAN, PR 00921-3141
Phone number: 787-664-3816
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Mailing Address
Dr. MARISELL BURGOS MERCADO Ph.D.
PO BOX 190705
SAN JUAN, PR 00919-0705
Phone number: 787-390-7474
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