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1114638319
NICOLE LOPEZ
BLOOMSBURG, PA
NPI
1114638319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-08
Last Update Date
2022-12-08
Business Address
NICOLE LOPEZ
351 TENNY ST
BLOOMSBURG, PA 17815-3264
Phone number: 888-726-4774
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Mailing Address
NICOLE LOPEZ
9 BANKS AVE
MCADOO, PA 18237-2508
Phone number: 888-726-4774
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