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1396087508
EDRICK NIEVES GONZALEZ
MAYAGUEZ, PR
NPI
1396087508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: FL 155525)
Enumeration Date
2013-03-26
Last Update Date
2013-03-26
Business Address
EDRICK NIEVES GONZALEZ
975 AVE HOSTOS SUITE 62
MAYAGUEZ, PR 00680-1251
Phone number: 787-832-5540
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Mailing Address
EDRICK NIEVES GONZALEZ
PO BOX 3294
MAYAGUEZ, PR 00681-3294
Phone number: 787-501-4333
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