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1790044048
JEISHA L VICENTY
DORADO, PR
NPI
1790044048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: PR 1082)
Enumeration Date
2012-05-07
Last Update Date
2012-05-07
Business Address
JEISHA L VICENTY
D81 CALLE C COSTA DE ORO
DORADO, PR 00646-2012
Phone number: 787-796-5900
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Mailing Address
JEISHA L VICENTY
PO BOX 953
DORADO, PR 00646-0953
Phone number: 787-635-1850
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