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Individual

MR. ANGEL LUIS LAUREANO-VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENCED OPTICIAN

Contact information

Practice address
CARR. 678 KM. 0.5, PAMPANOS, VEGA ALTA, PR 00692
(939) 579-1843
(787) 796-5183
Mailing address
PO BOX 3040, VEGA ALTA, PR 00692-3040
(939) 579-1843
(787) 796-5183

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
538
PR

Other

Enumeration date
01/02/2008
Last updated
01/02/2008
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