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1255900676
JENNIFER A LOPEZ
INDIO, CA
NPI
1255900676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2021-06-21
Last Update Date
2023-11-15
Business Address
JENNIFER A LOPEZ
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 760-863-8262
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Mailing Address
JENNIFER A LOPEZ
1216 AMALIA AVE
LOS ANGELES, CA 90022-5040
Phone number: 661-528-9855
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