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1306686506
ISAAC SHADE
PONCE, PR
NPI
1306686506
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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
2024-05-28
Last Update Date
2024-05-28
Business Address
ISAAC SHADE
388 ZONA IND REPARADA 2
PONCE, PR 00716-2347
Phone number: 787-840-2575
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Mailing Address
ISAAC SHADE
PO BOX 7004
PONCE, PR 00732-7004
Phone number:
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