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1699222315
ELVIN MENDEZ DOMINGUEZ
SAN JUAN, PR
NPI
1699222315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9421556)
Enumeration Date
2016-09-10
Last Update Date
2016-09-10
Business Address
-- ELVIN MENDEZ DOMINGUEZ
10 CALLE CASIA
SAN JUAN, PR 00921-3200
Phone number: 787-641-7582
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Mailing Address
-- ELVIN MENDEZ DOMINGUEZ
PO BOX 29437
SAN JUAN, PR 00929-0437
Phone number:
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