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1205328176
MIGUEL LOPEZ
INDIO, CA
NPI
1205328176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
MIGUEL LOPEZ
47940 ARABIA ST
INDIO, CA 92201-6828
Phone number: 760-863-8901
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Mailing Address
MIGUEL LOPEZ
47940 ARABIA ST
INDIO, CA 92201-6828
Phone number:
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