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1295923225
JORGE L LOPEZ
FRESNO, CA
NPI
1295923225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-10-03
Last Update Date
2007-10-03
Business Address
-- JORGE L LOPEZ
2501 W SHAW AVE STE 101
FRESNO, CA 93711-3307
Phone number: 559-221-1680
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Mailing Address
-- JORGE L LOPEZ
2501 W SHAW AVE STE 101
FRESNO, CA 93711-3307
Phone number: 559-221-1680
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