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Individual
CANDIDO COLLAZO
Active
Individual
CANDIDO COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
002331
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002331
STATE LICENSE
PR
Enumeration date
10/03/2022
Last updated
10/03/2022
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