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1386717247
EDGAR E DOMENECH FAGUNDO
PONCE, PR
NPI
1386717247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: PR 13247)
Enumeration Date
2006-11-16
Last Update Date
2010-09-16
Business Address
Dr. EDGAR E DOMENECH FAGUNDO MD
TORRE MEDICA SAN LUCAS, AVE. TITO CASTRO 917 SUITE 618
PONCE, PR 00730
Phone number: 787-290-3333
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Mailing Address
Dr. EDGAR E DOMENECH FAGUNDO MD
PMB 137 PO BOX 2000
MERCEDITA, PR 00715
Phone number: 787-290-3333
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