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1336780600
TANIA ANGELICA LOPEZ
FORT WORTH, TX
NPI
1336780600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX BACB486060)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
TANIA ANGELICA LOPEZ
5804 BOAT CLUB RD
FORT WORTH, TX 76176
Phone number: 817-310-8789
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Mailing Address
TANIA ANGELICA LOPEZ
757 OAKWOOD AVE
HURST, TX 76053-5510
Phone number:
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