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1093130163
ISIDRO LOPEZ
RATON, NM
NPI
1093130163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2014-02-26
Last Update Date
2020-05-07
Business Address
ISIDRO LOPEZ
1273 S 2ND ST
RATON, NM 87740-2234
Phone number: 575-445-3557
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Mailing Address
ISIDRO LOPEZ
PO BOX 94508
ALBUQUERQUE, NM 87199-4508
Phone number:
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