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1083164420
JACQUELINE LOPEZ
ALTADENA, CA
NPI
1083164420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-10-10
Last Update Date
2024-01-18
Business Address
JACQUELINE LOPEZ
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number: 626-798-6793
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Mailing Address
JACQUELINE LOPEZ
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4996
Phone number: 626-798-6793
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