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1043874464
AMANDA LOPEZ
GREEN VALLEY, AZ
NPI
1043874464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: AZ 8629369)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
AMANDA LOPEZ
679 W CHOLLA CREST DR
GREEN VALLEY, AZ 85614-5255
Phone number: 520-336-2565
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Mailing Address
AMANDA LOPEZ
994 S HARRISON RD
TUCSON, AZ 85748-6608
Phone number: 520-721-1887
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