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1013587401
MARK DOMINIC LOPEZ
ALBUQUERQUE, NM
NPI
1013587401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NM 63927)
Enumeration Date
2021-06-28
Last Update Date
2022-05-08
Business Address
MARK DOMINIC LOPEZ NP
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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Mailing Address
MARK DOMINIC LOPEZ NP
5724 STRAND LOOP SE
ALBUQUERQUE, NM 87106-9606
Phone number: 505-681-5497
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