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1376577916
XIOMARA IVELLISSE MATOS
HATILLO, PR
NPI
1376577916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: PR 579)
Enumeration Date
2006-07-10
Last Update Date
2017-06-26
Business Address
-- XIOMARA IVELLISSE MATOS O.D.
CARR. 2 KM 84.2 BO. CARRIZALES
HATILLO, PR 00659
Phone number: 787-820-5378
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Mailing Address
-- XIOMARA IVELLISSE MATOS O.D.
6402 TANZANITE DR
KILLEEN, TX 76542-3325
Phone number: 787-644-0957
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