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1760901250
XAIRA IVETTE MATEO SANTIAGO
PONCE, PR
NPI
1760901250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: PR 4027)
Enumeration Date
2017-09-15
Last Update Date
2017-09-15
Business Address
XAIRA IVETTE MATEO SANTIAGO Speech Language Path
1935 AVE LAS AMERICAS URB SAN ANTONIO
PONCE, PR 00728
Phone number: 787-843-7808
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Mailing Address
XAIRA IVETTE MATEO SANTIAGO Speech Language Path
PO BOX 9016
PONCE, PR 00732-9016
Phone number: 787-843-7808
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