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1164162889
OMAR DAVID LOPEZ
MARIETTA, GA
NPI
1164162889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
OMAR DAVID LOPEZ
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 864-305-8237
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Mailing Address
OMAR DAVID LOPEZ
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 864-305-8237
Copy
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