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Individual

SARA ROSE LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.B.T.

Contact information

Practice address
215 WESTERN BLVD STE 300, JACKSONVILLE, NC 28546-5730
(910) 989-0002
(910) 375-5381
Mailing address
101 CIRCLE DR, JACKSONVILLE, NC 28540-4811
(305) 490-8956

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6491
NC

Other

Enumeration date
06/29/2007
Last updated
07/08/2007
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