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1134621857
IDA LOPEZ
SAN ANTONIO, TX
NPI
1134621857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: TX 593318)
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
IDA LOPEZ
3201 CHERRY RIDGE ST STE D400
SAN ANTONIO, TX 78230-4820
Phone number: 210-692-0222
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Mailing Address
IDA LOPEZ
8730 ATWATER CRK
SAN ANTONIO, TX 78245-3249
Phone number: 956-455-2429
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