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1104670710
JACOB LOPEZ
CYPRESS, CA
NPI
1104670710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 305396)
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
JACOB LOPEZ DPT
9827 WALKER ST
CYPRESS, CA 90630-3826
Phone number: 714-220-9001
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Mailing Address
JACOB LOPEZ DPT
5530 ACKERFIELD AVE UNIT 105
LONG BEACH, CA 90805-4905
Phone number:
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