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1356477269
FRED TONY LOPEZ
MERCED, CA
NPI
1356477269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA PT15436)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Mr. FRED TONY LOPEZ LPT
300 E 15TH ST MARIE GREEN
MERCED, CA 95340-6217
Phone number: 209-381-6800
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Mailing Address
Mr. FRED TONY LOPEZ LPT
2315 VILLAGE CIRCLE DR
ATWATER, CA 95301-2819
Phone number: 209-358-3922
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