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Individual

MRS. GLORIA M LEBRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMACY TECHNICIAN

Contact information

Practice address
CALLE A EXT. PATAGONIA A-58, HUMACAO, PR 00791-0000
(787) 852-2729
Mailing address
CALLE A EXT. PATAGONIA A-58, HUMACAO, PR 00791-0000
(787) 852-2729

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1128
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1128
PHARMACY TECHNICIAN LICENSE
PR
Enumeration date
10/10/2011
Last updated
10/10/2011
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