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1033617956
JACQUELINE LOPEZ
CHULA VISTA, CA
NPI
1033617956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-01-25
Last Update Date
2024-04-04
Business Address
JACQUELINE LOPEZ
1196 THIRD AVE
CHULA VISTA, CA 91911-3131
Phone number: 619-427-4661
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Mailing Address
JACQUELINE LOPEZ
409 CAMINO DEL RIO S STE 201
SAN DIEGO, CA 92108-3505
Phone number: 619-813-9184
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