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1124741160
JAN BYRON LOPEZ
EDMONDS, WA
NPI
1124741160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN60710403)
Enumeration Date
2022-09-23
Last Update Date
2022-09-23
Business Address
JAN BYRON LOPEZ BSN RN
21008 76TH AVE W
EDMONDS, WA 98026-7104
Phone number: 425-778-0107
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Mailing Address
JAN BYRON LOPEZ BSN RN
21008 76TH AVE W
EDMONDS, WA 98026-7104
Phone number: 425-778-0107
Copy
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