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1063160190
KEANA NYASIA LOPEZ
PHILADELPHIA, PA
NPI
1063160190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: PA MSG014347)
Enumeration Date
2022-03-17
Last Update Date
2022-03-17
Business Address
KEANA NYASIA LOPEZ LMT
19 W ALLENS LN APT 17
PHILADELPHIA, PA 19119-1640
Phone number: 347-510-6192
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Mailing Address
KEANA NYASIA LOPEZ LMT
19 W ALLENS LN APT 17
PHILADELPHIA, PA 19119-1640
Phone number: 347-510-6192
Copy
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