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1174169155
ERIC VIVEROS LOPEZ
FRESNO, CA
NPI
1174169155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-11-25
Last Update Date
2024-09-24
Business Address
ERIC VIVEROS LOPEZ
4411 E. CESAR CHAVEZ BLVD # 319
FRESNO, CA 93702-3604
Phone number: 559-600-2382
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Mailing Address
ERIC VIVEROS LOPEZ
3433 W SHAW AVE STE 108
FRESNO, CA 93711-3229
Phone number: 559-558-4051
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