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1093303414
ANDREA ITZEL LOPEZ
SACRAMENTO, CA
NPI
1093303414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-01-03
Last Update Date
2021-01-03
Business Address
ANDREA ITZEL LOPEZ
2751 WILMINGTON AVE
SACRAMENTO, CA 95820-1048
Phone number: 916-923-1789
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Mailing Address
ANDREA ITZEL LOPEZ
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number:
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