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1104525914
DESTINY LOPEZ
SNELLVILLE, GA
NPI
1104525914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
DESTINY LOPEZ RBT
1559 JANMAR RD
SNELLVILLE, GA 30078-5606
Phone number: 770-336-7373
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Mailing Address
DESTINY LOPEZ RBT
8201 CASS AVE
DARIEN, IL 60561-5314
Phone number: 630-590-5571
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