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1114535044
JOSE LOPEZ
REDLANDS, CA
NPI
1114535044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014938)
Enumeration Date
2020-07-16
Last Update Date
2020-08-21
Business Address
JOSE LOPEZ FNP-C
2 W FERN AVE
REDLANDS, CA 92373-5916
Phone number: 909-793-3311
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Mailing Address
JOSE LOPEZ FNP-C
PO BOX 10069
SAN BERNARDINO, CA 92423-0069
Phone number: 093-354-1889
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