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1265012645
DEANNA RAE LOPEZ
SAN FERNANDO, CA
NPI
1265012645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-10
Last Update Date
2021-04-10
Business Address
DEANNA RAE LOPEZ
566 S BRAND BLVD
SAN FERNANDO, CA 91340-4002
Phone number: 818-898-0223
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Mailing Address
DEANNA RAE LOPEZ
14034 CHAMBERLAIN ST
SAN FERNANDO, CA 91340-3802
Phone number: 818-447-9237
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