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1972850311
JENNIFER A LOPEZ
BRONX, NY
NPI
1972850311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 62873812)
Enumeration Date
2012-08-03
Last Update Date
2012-08-03
Business Address
Ms. JENNIFER A LOPEZ
2813 SCHURZ AVE
BRONX, NY 10465-3235
Phone number: 646-996-6202
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Mailing Address
Ms. JENNIFER A LOPEZ
2813 SCHURZ AVE
BRONX, NY 10465-3235
Phone number: 646-996-6202
Copy
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