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1063979102
JASMINE IVONNE LOPEZ
WORCESTER, MA
NPI
1063979102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2019-02-25
Last Update Date
2019-02-25
Business Address
JASMINE IVONNE LOPEZ
345 GREENWOOD ST STE A
WORCESTER, MA 01607-1767
Phone number: 508-363-0200
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Mailing Address
JASMINE IVONNE LOPEZ
36 MARSH AVE
WORCESTER, MA 01605-2215
Phone number: 508-410-2779
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