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1285261065
SEBASTIAN LOPEZ
CHARLESTON, WV
NPI
1285261065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-24
Last Update Date
2020-03-24
Business Address
Dr. SEBASTIAN LOPEZ DO
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5590
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Mailing Address
Dr. SEBASTIAN LOPEZ DO
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number:
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