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1992046171
WANDA IVELISSE DIAZ
SAN JUAN, PR
NPI
1992046171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: PR 930)
Enumeration Date
2013-03-12
Last Update Date
2013-03-12
Business Address
-- WANDA IVELISSE DIAZ
759 AVE AVELINO VICENTE
SAN JUAN, PR 00909-2538
Phone number: 787-410-5443
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Mailing Address
-- WANDA IVELISSE DIAZ
PO BOX 2510
JUNCOS, PR 00777-2510
Phone number:
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