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1821611245
LOVELINE IJANG WALINJOM
BROCKTON, MA
NPI
1821611245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: MA 94993)
Enumeration Date
2020-05-20
Last Update Date
2020-05-20
Business Address
LOVELINE IJANG WALINJOM
119 NEWBURY ST APT 10
BROCKTON, MA 02301-3800
Phone number: 857-615-9637
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Mailing Address
LOVELINE IJANG WALINJOM
119 NEWBURY ST APT 10
BROCKTON, MA 02301-3800
Phone number: 857-615-9637
Copy