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1881331015
JOSUE ISAI RIVAS
BRENTWOOD, NY
NPI
1881331015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NY 032758)
Enumeration Date
2022-05-18
Last Update Date
2022-05-18
Business Address
JOSUE ISAI RIVAS LMT
52 STUDLEY ST
BRENTWOOD, NY 11717
Phone number: 516-725-6837
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Mailing Address
JOSUE ISAI RIVAS LMT
52 STUDLEY ST
BRENTWOOD, NY 11717-7523
Phone number: 516-725-6837
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