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1316361934
JOVANY LOPEZ
SALEM, OR
NPI
1316361934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
JOVANY LOPEZ
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
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Mailing Address
JOVANY LOPEZ
3638 SILVERSTONE DR NE
SALEM, OR 97305-3062
Phone number: 503-975-0586
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