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1790469781
EDDER GEOVANNY MORA
LAWRENCE, MA
NPI
1790469781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MA LN101085)
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
EDDER GEOVANNY MORA
360 MERRIMACK ST STE 9
LAWRENCE, MA 01843-1764
Phone number: 978-655-6652
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Mailing Address
EDDER GEOVANNY MORA
87 PHILLIPS ST
METHUEN, MA 01844-4311
Phone number: 978-835-5358
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