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1003983768
AIDELISA LOPEZ-CARRASCO
SPRINGFIELD, MA
NPI
1003983768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MA 5988)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
-- AIDELISA LOPEZ-CARRASCO
136 WILLIAM ST
SPRINGFIELD, MA 01105-2349
Phone number: 413-788-2171
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Mailing Address
-- AIDELISA LOPEZ-CARRASCO
120 AMHERST ST
GRANBY, MA 01033-9711
Phone number:
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