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1710308614
EDGARD SOUZA DOSSANTOS
BELLEVILLE, NJ
NPI
1710308614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NJ 18kt00116200)
Enumeration Date
2013-12-18
Last Update Date
2013-12-27
Business Address
Mr. EDGARD SOUZA DOSSANTOS LMT
135 UNION AVE
BELLEVILLE, NJ 07109
Phone number: 973-873-8322
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Mailing Address
Mr. EDGARD SOUZA DOSSANTOS LMT
135 UNION AVE
BELLEVILLE, NJ 07109
Phone number: 973-873-8322
Copy
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