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Individual

CARLOS GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1519 BURLINGTON RD, CLEVELAND HEIGHTS, OH 44118-1216
(440) 781-9237
Mailing address
1519 BURLINGTON RD, CLEVELAND HEIGHTS, OH 44118-1216
(440) 382-5005

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020826
OH

Other

Enumeration date
11/12/2014
Last updated
11/29/2017
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