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1336651751
ISABELLA ROSE LOPEZ
PUEBLO, CO
NPI
1336651751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO AT.0001860)
Enumeration Date
2017-10-25
Last Update Date
2019-08-07
Business Address
ISABELLA ROSE LOPEZ
2200 BONFORTE BLVD
PUEBLO, CO 81001-4901
Phone number: 702-204-0954
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Mailing Address
ISABELLA ROSE LOPEZ
2200 BONFORTE BLVD
PUEBLO, CO 81001-4901
Phone number:
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