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1003157041
LISSETTE G LOPEZ
RIVERSIDE, CA
NPI
1003157041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 22854)
Enumeration Date
2013-03-14
Last Update Date
2013-06-19
Business Address
-- LISSETTE G LOPEZ PA-C
9939 MAGNOLIA AVE
RIVERSIDE, CA 92503-3528
Phone number: 818-282-5894
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Mailing Address
-- LISSETTE G LOPEZ PA-C
9939 MAGNOLIA AVE
RIVERSIDE, CA 92503
Phone number: 818-282-5894
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