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1932464559
LAKIA SMALL
BROCKTON, MA
NPI
1932464559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-07-10
Last Update Date
2012-07-10
Business Address
-- LAKIA SMALL
1115 W CHESTNUT ST
BROCKTON, MA 02301-7501
Phone number: 508-559-0473
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Mailing Address
-- LAKIA SMALL
1115 W CHESTNUT ST
BROCKTON, MA 02301-7501
Phone number: 508-559-0473
Copy
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