Rafael Fornes-aquino

Pharmacist intern

COTO LAUREL, US

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Full name

RAFAEL FORNES-AQUINO

Job Title

Pharmacist Intern

Location

Coto Laurel

LIC ID

21911

Original Date

14/10/2014

Professional Rank Code

PSI

Effective Date

14/10/2014

Board Action Indicator

License Status Description

CLEAR

Country Description

Foreign

Mailing Address Line 2

2017 CALLE ZAFIRO

Practice Location Address Line 1

URB LAGO HORIZONTE

Practice Location Address Line 2

2017 CALLE ZAFIRO

Practice Location Address City

COTO LAUREL

Practice Location Address State

Practice Location Address Zipcode

00780

Prescribing Indicator

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Rafael Fornes-aquino

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