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1508115700
LYZETTE DINORAH COSTA
SAN JUAN, PR
NPI
1508115700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: PR 3995)
Enumeration Date
2012-09-04
Last Update Date
2012-09-04
Business Address
-- LYZETTE DINORAH COSTA
URB. HUYKE 204 CALLE UNION
SAN JUAN, PR 00918
Phone number: 787-772-4783
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Mailing Address
-- LYZETTE DINORAH COSTA
1407 AVE. ASHFORD COND. CONDADO AMBASSADOR APT. 603
SAN JUAN, PR 00907
Phone number: 787-560-5696
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