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1992005383
MARYLIN MATOS
PONCE, PR
NPI
1992005383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-11-01
Last Update Date
2010-11-01
Business Address
-- MARYLIN MATOS
BO MACHUELO TERRENOS HOSPITAL SAN LUCAS II FINAL
PONCE, PR 00731
Phone number: 787-840-6630
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Mailing Address
-- MARYLIN MATOS
PO BOX 877
COAMO, PR 00769-0877
Phone number: 787-803-2807
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