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1255716106
TRACE JORY LOPTIEN
NASHVILLE, TN
NPI
1255716106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2015-07-21
Last Update Date
2016-11-03
Business Address
TRACE JORY LOPTIEN M.S.
115 MIDDLETON ST
NASHVILLE, TN 37210-2233
Phone number: 815-739-8034
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Mailing Address
TRACE JORY LOPTIEN M.S.
115 MIDDLETON ST.
NASHVILLE, TN 37210
Phone number: 815-739-8034
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