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1205030087
CARLOS ROBERT LOPEZ
SANTA CRUZ, CA
NPI
1205030087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
Mr. CARLOS ROBERT LOPEZ
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-5273
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Mailing Address
Mr. CARLOS ROBERT LOPEZ
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-5273
Copy
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