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Individual

DR. GISELLE ROMAN MORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
511 AVE JOSE A CEDENO, SUITE 6, ARECIBO, PR 00612-4695
(787) 880-3362
Mailing address
CALLE DORADO A20, 142 ESTANCIAS DE MANATI, MANATI, PR 00674
(787) 510-8186

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
660
PR

Other

Enumeration date
02/09/2009
Last updated
06/09/2009
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