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1295552693
LUIS ANTONIO LOPEZ
KENT, WA
NPI
1295552693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
LUIS ANTONIO LOPEZ
232 2ND AVE S
KENT, WA 98032-5862
Phone number: 253-859-0300
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Mailing Address
LUIS ANTONIO LOPEZ
232 2ND AVE S
KENT, WA 98032-5862
Phone number: 253-859-0300
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