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Individual

JOSE MEJIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MA

Other

Enumeration date
03/03/2014
Last updated
03/03/2014
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