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1487962601
JORGE LUIS PARRA
DORAL, FL
NPI
1487962601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: FL MA59566)
Enumeration Date
2010-09-22
Last Update Date
2010-09-22
Business Address
Mr. JORGE LUIS PARRA MA
4851 NW 79 AVE 10
DORAL, FL 33166-1239
Phone number: 786-267-2211
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Mailing Address
Mr. JORGE LUIS PARRA MA
2540 W 8TH CT
HIALEAH, FL 33010-1239
Phone number: 786-267-2211
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