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1013737899
BLADIMIR ALEXIS LOPEZ
ESCONDIDO, CA
NPI
1013737899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
BLADIMIR ALEXIS LOPEZ
550 W WASHINGTON AVE
ESCONDIDO, CA 92025-1643
Phone number: 760-489-6380
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Mailing Address
BLADIMIR ALEXIS LOPEZ
550 W WASHINGTON AVE
ESCONDIDO, CA 92025-1643
Phone number: 760-489-6380
Copy
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