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1144954421
MAIRA LOPEZ
GOSHEN, IN
NPI
1144954421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71012728A)
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
Mrs. MAIRA LOPEZ NP
1811 CHARLTON CT
GOSHEN, IN 46526-6464
Phone number: 574-534-8200
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Mailing Address
Mrs. MAIRA LOPEZ NP
1811 CHARLTON CT
GOSHEN, IN 46526-6464
Phone number: 574-534-8200
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