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1356847040
ELIZABETH BONILLA LOPEZ
EL PASO, TX
NPI
1356847040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT040619)
Enumeration Date
2018-04-02
Last Update Date
2018-04-02
Business Address
Mrs. ELIZABETH BONILLA LOPEZ Massage therapist
10536 MONTWOOD DR STE D
EL PASO, TX 79935-2707
Phone number: 915-740-1254
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Mailing Address
Mrs. ELIZABETH BONILLA LOPEZ Massage therapist
10536 MONTWOOD DR STE D
EL PASO, TX 79935-2707
Phone number: 915-740-1254
Copy
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