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1376034082
JOSE LUIS GRILLO ZAPATA
ENGLEWOOD, NJ
NPI
1376034082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NJ 18KT01174200)
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
JOSE LUIS GRILLO ZAPATA
25 ROCKWOOD PLACE
ENGLEWOOD, NJ 07631
Phone number: 201-431-5066
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Mailing Address
JOSE LUIS GRILLO ZAPATA
25 ROCKWOOD PL STE 110
ENGLEWOOD, NJ 07631-4959
Phone number: 201-431-5066
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