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1285003582
JORGE LOPEZ
ALBUQUERQUE, NM
NPI
1285003582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-17
Last Update Date
2024-08-19
Business Address
JORGE LOPEZ
400 GOLD AVE SW
ALBUQUERQUE, NM 87102-3283
Phone number: 505-715-4610
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Mailing Address
JORGE LOPEZ
2325 CERRILLOS RD
SANTA FE, NM 87505-3373
Phone number: 505-438-0010
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