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1740491174
MARIEMMA MAGE LOPEZ
PONCE, PR
NPI
1740491174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 15039)
Enumeration Date
2007-05-25
Last Update Date
2007-07-08
Business Address
Dr. MARIEMMA MAGE LOPEZ MD
COMPLEJO CORRECCIONAL LAS CUCHARAS EL TUQUE
PONCE, PR 00732
Phone number: 787-841-8005
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Mailing Address
Dr. MARIEMMA MAGE LOPEZ MD
PO BOX 800250
COTO LAUREL, PR 00780-0250
Phone number: 787-848-1826
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