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1346619129
BLANCA OMARILYS LOPEZ
TAMPA, FL
NPI
1346619129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2015-09-22
Last Update Date
2015-09-22
Business Address
-- BLANCA OMARILYS LOPEZ PA-C
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 727-412-4090
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Mailing Address
-- BLANCA OMARILYS LOPEZ PA-C
2532 MIDDLETON GROVE DR
BRANDON, FL 33511-4784
Phone number:
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