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1184693277
MANUEL LOPEZ
SARASOTA, FL
NPI
1184693277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
Mr. MANUEL LOPEZ ATC, CSCS
6700 CLARK RD
SARASOTA, FL 34241-9328
Phone number: 815-519-4448
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Mailing Address
Mr. MANUEL LOPEZ ATC, CSCS
2725 N ELMWOOD AVE
WAUKEGAN, IL 60087-3064
Phone number: 815-519-4448
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