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1396467049
JAN KRISTIAN JOSE SISCO
LARES, PR
NPI
1396467049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: PR 7079)
Enumeration Date
2022-09-19
Last Update Date
2023-09-14
Business Address
JAN KRISTIAN JOSE SISCO
CARR. 436 KM 1.2 BO ESPINO CEIBA
LARES, PR 00669
Phone number: 787-413-0008
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Mailing Address
JAN KRISTIAN JOSE SISCO
HC 3 BOX 9475
LARES, PR 00669-9572
Phone number: 787-413-0008
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