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1356936868
BIANCA MICHELLE LOPEZ
GOODYEAR, AZ
NPI
1356936868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 8679)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2021-03-05
Last Update Date
2021-12-15
Business Address
BIANCA MICHELLE LOPEZ PA
13677 W MCDOWELL RD
GOODYEAR, AZ 85395-2635
Phone number: 623-882-1500
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Mailing Address
BIANCA MICHELLE LOPEZ PA
22137 W MESQUITE DR
BUCKEYE, AZ 85326-5538
Phone number: 602-814-6812
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