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1053063503
ALLEN JOSEPH LOPEZ
VENICE, CA
NPI
1053063503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
ALLEN JOSEPH LOPEZ
204 HAMPTON DR
VENICE, CA 90291-8633
Phone number: 818-235-6932
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Mailing Address
ALLEN JOSEPH LOPEZ
204 HAMPTON DR
VENICE, CA 90291-8633
Phone number:
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