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Individual

MR. JORGE L POLANCO SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 CALLE PLAYERA NUM.114, URB. COSTAS DEL ATLANTICO, ARECIBO, PR 00612-0061
(939) 288-6335
Mailing address
HC 3 BOX 3377, FLORIDA, PR 00650-9667
(939) 288-6335

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
PR

Other

Enumeration date
01/09/2015
Last updated
01/09/2015
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