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1184389413
GRACEANNE LOPEZ
EAST NORTHPORT, NY
NPI
1184389413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
GRACEANNE LOPEZ
3072 JERICHO TPKE
EAST NORTHPORT, NY 11731
Phone number: 631-462-9595
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Mailing Address
GRACEANNE LOPEZ
20 GLADYSZ WAY
PORT JEFFERSON, NY 11777
Phone number:
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