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1164069456
JORGE ALBERTO LOPEZ
COCONUT GROVE, FL
NPI
1164069456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: FL 18303)
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
MR. JORGE ALBERTO LOPEZ MASTERS
2780 SSW 37TH AVE
COCONUT GROVE, FL 33133
Phone number: 786-234-1980
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Mailing Address
MR. JORGE ALBERTO LOPEZ MASTERS
14514 SW 167TH TER
MIAMI, FL 33177-1744
Phone number: 786-234-1980
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