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Individual

JORDI LOAEZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
321 VT-113, THETFORD, VT 05043
(802) 821-0902
Mailing address
41 BARTON ST UNIT 661, BRADFORD, VT 05033-2027
(802) 821-0902

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
164.0001225
VT

Other

Enumeration date
02/12/2024
Last updated
02/12/2024
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