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1164853248
JOMARA LOPEZ
WOODSIDE, NY
NPI
1164853248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: NY 233483102)
Enumeration Date
2013-11-27
Last Update Date
2013-11-27
Business Address
JOMARA LOPEZ
5032 31ST AVE APT. 4D
WOODSIDE, NY 11377-1361
Phone number: 718-853-9700
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Mailing Address
JOMARA LOPEZ
5032 31ST AVE APT. 4D
WOODSIDE, NY 11377-1361
Phone number: 718-853-9700
Copy
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