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Vaccinations - where?

10 years ago
Unfortunately it was impossible to refresh all my vaccinations here before my travel to Nicaragua.

Can anyone recommend a doctor or institution where I can get the essential vaccinations - if possible in Granada:
1) Tetanus (2nd)
2) Twinrix (a combination of diphtery, hepatite and something else)
3) Yellow fever (the most difficult here because of refrigeration)
4) rage

Thank you !

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