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1326767005
ENRIQUE LOPEZ
SACRAMENTO, CA
NPI
1326767005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
ENRIQUE LOPEZ
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 909-961-4087
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Mailing Address
ENRIQUE LOPEZ
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 909-961-4087
Copy
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