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1568209435
OMAR ELWISHAHI
SAN JUAN, PR
NPI
1568209435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PR 17110-I)
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
OMAR ELWISHAHI MD
1395 CALLE SAN RAFAEL
SAN JUAN, PR 00909-2518
Phone number: 787-999-7620
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Mailing Address
OMAR ELWISHAHI MD
1050 AVE LAS PALMAS APT 411
SAN JUAN, PR 00907-5204
Phone number: 925-964-7710
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