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1306580576
JORGE LUIS LOPEZ
LIVE OAK, TX
NPI
1306580576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
JORGE LUIS LOPEZ
12702 TOEPPERWEIN RD STE 120
LIVE OAK, TX 78233-3208
Phone number: 210-653-4420
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Mailing Address
JORGE LUIS LOPEZ
1420 ANHALT DR # 50B
PFLUGERVILLE, TX 78660-6110
Phone number: 915-240-0866
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