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1033993514
MICQAUELLA RENEA LOPEZ
SAN MARCOS, TX
NPI
1033993514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-08-24
Last Update Date
2024-09-05
Business Address
MICQAUELLA RENEA LOPEZ
601 UNIVERSITY DR
SAN MARCOS, TX 78666-4684
Phone number: 956-651-2555
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Mailing Address
MICQAUELLA RENEA LOPEZ
9501 N TAYLOR RD
MISSION, TX 78573-4606
Phone number: 956-651-2555
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