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1073097275
IVELISSE LOPEZ GARCIA
TAMPA, FL
NPI
1073097275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
1041C0700X Social Worker, Clinical
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
IVELISSE LOPEZ GARCIA
4840 TAMPA DOWNS BLVD LUTZ
TAMPA, FL 33559
Phone number: 939-283-6413
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Mailing Address
IVELISSE LOPEZ GARCIA
4840 TAMPA DOWNS BLVD LUTZ
TAMPA, FL 33559
Phone number: 939-283-6413
Copy
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