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1619513181
JORGE LUIS MARIE
PONCE, PR
NPI
1619513181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PR 36316-R)
Enumeration Date
2019-11-20
Last Update Date
2024-04-02
Business Address
JORGE LUIS MARIE MD
917 AVE TITO CASTRO
PONCE, PR 00716-4717
Phone number: 787-844-2080
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Mailing Address
JORGE LUIS MARIE MD
PO BOX 2175
COAMO, PR 00769-4175
Phone number: 787-903-1564
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