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Individual

DORIAN BRUNO CAMERON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
CARR 683 KM 1.3 INTERIOR FACTOR 1, ARECIBO, PR 00652-0193
(787) 996-7816
Mailing address
PO BOX 193, GARROCHALES, PR 00652-0193
(787) 996-7816

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4136
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80031510876
PR
Enumeration date
01/11/2019
Last updated
01/11/2019
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