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1043925944
AMANDA LOPEZ
LONGMONT, CO
NPI
1043925944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO SLP.0005036)
Enumeration Date
2023-01-16
Last Update Date
2023-01-16
Business Address
AMANDA LOPEZ
711 DARBY CT APT 205
LONGMONT, CO 80501-5076
Phone number: 612-770-1709
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Mailing Address
AMANDA LOPEZ
711 DARBY CT APT 205
LONGMONT, CO 80501-5076
Phone number: 612-770-1709
Copy
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