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| First Name: | Karla |
| Middle Name: | Vanessa |
| Last Name: | Jimenez |
| Company: | Mossy Rock |
| Phone: | 506 26701644 |
| Fax: | 506 26701814 |
| Cell: | 506 88439598 |
| Address 1: | Playas del Coco |
| Address 2: | Residencial la Segovia |
| City: | Playas del Coco |
| State: | Guanacaste |
| Zip: | 133-5019 |
| Country: | Costa Rica |