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1023609112
JEREMIAH LOPEZ
EL PASO, TX
NPI
1023609112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
(Licence: TX 45D2203712)
Enumeration Date
2021-02-01
Last Update Date
2021-02-01
Business Address
JEREMIAH LOPEZ Lab Director
12029 GREENVEIL DR
EL PASO, TX 79936-0388
Phone number: 915-246-2139
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Mailing Address
JEREMIAH LOPEZ Lab Director
12029 GREENVEIL DR
EL PASO, TX 79936-0388
Phone number: 915-246-2139
Copy
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