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1164662961
JESSIE LOPEZ
KINGMAN, AZ
NPI
1164662961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301013521)
Enumeration Date
2009-03-06
Last Update Date
2009-03-06
Business Address
Dr. JESSIE LOPEZ Ph.D.
310 E OAK ST
KINGMAN, AZ 86401-5840
Phone number: 928-377-1963
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Mailing Address
Dr. JESSIE LOPEZ Ph.D.
2020 JOHN WAYNE DR
KINGMAN, AZ 86409-3189
Phone number: 928-377-1963
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