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1386471787
DEREK J MEDINA
PONCE, PR
NPI
1386471787
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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
2024-09-18
Last Update Date
2024-09-18
Business Address
DEREK J MEDINA
PHSU 388 ZONA INDUSTRIAL REPARADA 2
PONCE, PR 00716
Phone number: 787-840-2575
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Mailing Address
DEREK J MEDINA
PHSU, PO BOX 7004
PONCE, PR 00732-7004
Phone number: 787-840-2575
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