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1225231046
JUAN R LOPEZ
LAWTON, OK
NPI
1225231046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OK 05022)
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
Dr. JUAN R LOPEZ D.D.S
6941 W GORE BLVD
LAWTON, OK 73505-5311
Phone number: 580-536-9647
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Mailing Address
Dr. JUAN R LOPEZ D.D.S
6941 W GORE BLVD
LAWTON, OK 73505-5311
Phone number: 580-536-9647
Copy
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