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1346819711
JOSE LOPEZ
MIAMI, FL
NPI
1346819711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QC1500X Clinic/Center, Community Health
Enumeration Date
2021-06-21
Last Update Date
2021-06-21
Business Address
JOSE LOPEZ
15924 SW 92ND AVE
MIAMI, FL 33157-1842
Phone number: 305-964-5824
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Mailing Address
JOSE LOPEZ
10918 SW 181ST TER
PALMETTO BAY, FL 33157-9002
Phone number: 305-753-2179
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