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1073048252
JUAN CARLOS LOPEZ
WAYNE, PA
NPI
1073048252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: PA bh002750)
Enumeration Date
2017-04-26
Last Update Date
2017-04-26
Business Address
Dr. JUAN CARLOS LOPEZ
103 EATON DR
WAYNE, PA 19087-3856
Phone number: 610-937-0892
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Mailing Address
Dr. JUAN CARLOS LOPEZ
103 EATON DR
WAYNE, PA 19087-3856
Phone number: 610-937-0892
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