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1023247202
GUSTAVO A LOPEZ
TOLLESON, AZ
NPI
1023247202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 42153)
Enumeration Date
2009-07-08
Last Update Date
2018-12-26
Business Address
GUSTAVO A LOPEZ MD
9169 W VAN BUREN ST
TOLLESON, AZ 85353-2942
Phone number: 602-283-5732
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Mailing Address
GUSTAVO A LOPEZ MD
9169 W VAN BUREN ST
TOLLESON, AZ 85353-2942
Phone number: 602-283-5732
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