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1336394931
JAIME LOPEZ
ELLICOTT CITY, MD
NPI
1336394931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 3484)
Enumeration Date
2008-11-24
Last Update Date
2008-11-24
Business Address
Mr. JAIME LOPEZ PT
3490 NORTH RIDGE RD. SUITE 290
ELLICOTT CITY, MD 21043
Phone number: 410-750-9006
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Mailing Address
Mr. JAIME LOPEZ PT
2722 GREAT LAKES AVE
SUGAR LAND, TX 77479-2078
Phone number: 281-494-4896
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