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1063053866
JESUS LOPEZ
SPRINGVILLE, UT
NPI
1063053866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QS1200X Clinic/Center, Sleep Disorder Diagnostic
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
Mr. JESUS LOPEZ RPSGT
1461 ARCHMORE LOOP
SPRINGVILLE, UT 84663
Phone number: 323-286-5703
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Mailing Address
Mr. JESUS LOPEZ RPSGT
2279 N UNIVERSITY PKWY # 113
PROVO, UT 84604-1543
Phone number: 323-286-5703
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