ANNIE KONYEASO

BROCKTON, MA
NPI1902229727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy305S00000X Point of Service
Enumeration Date2014-01-30
Last Update Date2014-01-30
Business Address
-- ANNIE KONYEASO
462 COURT ST APT 2
BROCKTON, MA 02302-2878
Phone number: 857-719-4921
Mailing Address
-- ANNIE KONYEASO
462 COURT ST APT 2
BROCKTON, MA 02302-2878
Phone number: 857-719-4921
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