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1104367598
AMANDA MERCEDES LOPEZ
HIALEAH, FL
NPI
1104367598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA15761)
Enumeration Date
2017-03-17
Last Update Date
2017-03-17
Business Address
-- AMANDA MERCEDES LOPEZ
1555 W 44TH PL APT 259
HIALEAH, FL 33012-7840
Phone number: 786-546-3668
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Mailing Address
-- AMANDA MERCEDES LOPEZ
1555 W 44TH PL APT 259
HIALEAH, FL 33012-7840
Phone number:
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