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1114095304
JAY A PROVENZANO
QUINCY, MA
NPI
1114095304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: MA 2886)
Enumeration Date
2006-12-04
Last Update Date
2010-06-09
Business Address
Dr. JAY A PROVENZANO D.C.
25 SCHOOL ST SUITE B-2
QUINCY, MA 02169-6607
Phone number: 617-689-0440
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Mailing Address
Dr. JAY A PROVENZANO D.C.
25 SCHOOL ST SUITE B-2
QUINCY, MA 02169-6607
Phone number: 617-689-0440
Copy
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