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1053655159
JUAN CARLOS ORTEGA
BEVERLY, MA
NPI
1053655159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: MN 450953)
Enumeration Date
2012-11-15
Last Update Date
2012-11-15
Business Address
Mr. JUAN CARLOS ORTEGA
800 CUMMINGS CTR SUITE 360 U
BEVERLY, MA 01915-6175
Phone number: 978-201-1066
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Mailing Address
Mr. JUAN CARLOS ORTEGA
800 CUMMINGS CTR SUITE 360 U
BEVERLY, MA 01915-6175
Phone number: 978-201-1066
Copy
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