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1861977613
JORGE E LOPEZ
BROCKTON, MA
NPI
1861977613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MA 12627)
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
JORGE E LOPEZ
21 CONNELL AVE
BROCKTON, MA 02302-2541
Phone number: 508-292-1171
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Mailing Address
JORGE E LOPEZ
21 CONNELL AVE
BROCKTON, MA 02302-2541
Phone number: 508-292-1171
Copy
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