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1225875834
JACKELINE LOPEZ
SANTA MONICA, CA
NPI
1225875834
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Former Name
JACKELINE ARIAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95100221)
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
JACKELINE LOPEZ AGNP- PCP, MSN
1250 16TH ST
SANTA MONICA, CA 90404-1249
Phone number: 310-825-9111
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Mailing Address
JACKELINE LOPEZ AGNP- PCP, MSN
5594 VALENCIA DR
MONTCLAIR, CA 91762-7648
Phone number: 760-217-9258
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