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1245063056
CARLOS C LOPEZ
SANTA ANA, CA
NPI
1245063056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: CA 10)
Enumeration Date
2024-08-26
Last Update Date
2024-08-26
Business Address
CARLOS C LOPEZ
329 E WISTERIA PL
SANTA ANA, CA 92701-5957
Phone number: 714-477-3876
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Mailing Address
CARLOS C LOPEZ
801 PARKCENTER DR STE 235
SANTA ANA, CA 92705-3588
Phone number:
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