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1306456876
EDWIN EFREN LOPEZ
LAS VEGAS, NV
NPI
1306456876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NV 4347)
Enumeration Date
2020-08-08
Last Update Date
2022-11-04
Business Address
EDWIN EFREN LOPEZ PT, DPT
821 N NELLIS BLVD STE 130
LAS VEGAS, NV 89110-5387
Phone number: 702-452-4563
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Mailing Address
EDWIN EFREN LOPEZ PT, DPT
2068 N GATEWAY RD
LAS VEGAS, NV 89115-5334
Phone number: 702-204-2499
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