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1003503160
ALFREDO J LOPEZ
LANCASTER, CA
NPI
1003503160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-04-19
Last Update Date
2023-05-11
Business Address
ALFREDO J LOPEZ
44233 CAROLSIDE AVE
LANCASTER, CA 93535-3530
Phone number: 818-447-1237
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Mailing Address
ALFREDO J LOPEZ
108 W VICTORIA ST
GARDENA, CA 90248-3523
Phone number: 310-715-2020
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