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1710156914
SUSANNE LANE
BROCKTON, MA
NPI
1710156914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MA na)
Enumeration Date
2008-02-21
Last Update Date
2008-02-21
Business Address
Ms. SUSANNE LANE massage therapist
471 PROSPECT ST
BROCKTON, MA 02301-2534
Phone number: 508-580-1544
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Mailing Address
Ms. SUSANNE LANE massage therapist
471 PROSPECT ST
BROCKTON, MA 02301-2534
Phone number: 508-580-1544
Copy
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