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1104489319
ERROL LOPEZ
PORT ORANGE, FL
NPI
1104489319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA25202)
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
ERROL LOPEZ
3882 SUNSET COVE DR
PORT ORANGE, FL 32129-1916
Phone number: 386-631-0841
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Mailing Address
ERROL LOPEZ
3882 SUNSET COVE DR
PORT ORANGE, FL 32129-1916
Phone number: 386-631-0841
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