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Individual

MAILIM GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
URB SANTA CRUZ # 70 CALLE SANTA CRUZ, BAYAMON, PR 00956
(787) 740-4747
Mailing address
CONDOMINIO RIVERPARK EDF.B APTO 306, BAYAMON, PR 00956
(787) 798-0339

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5962
PR

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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