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1376162776
MICHAELA RENE LOPEZ
ORANGE, CA
NPI
1376162776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-04-15
Last Update Date
2020-04-15
Business Address
MICHAELA RENE LOPEZ
325 N PINE ST
ORANGE, CA 92866-1145
Phone number: 925-719-3468
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Mailing Address
MICHAELA RENE LOPEZ
325 N PINE ST
ORANGE, CA 92866-1145
Phone number:
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