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1164131991
JOHN D LOPEZ
CENTRALIA, WA
NPI
1164131991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA 61380964)
Enumeration Date
2022-11-21
Last Update Date
2022-11-21
Business Address
JOHN D LOPEZ AAC
1126 S GOLD ST
CENTRALIA, WA 98531-3768
Phone number: 360-807-4929
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Mailing Address
JOHN D LOPEZ AAC
PO BOX 2394
LONGVIEW, WA 98632-8455
Phone number: 360-200-5419
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