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1376174011
GINA MARIE LOPEZ
SAN JOSE, CA
NPI
1376174011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-01-31
Last Update Date
2020-01-31
Business Address
GINA MARIE LOPEZ
1887 MONTEREY HWY STE 225
SAN JOSE, CA 95112-6192
Phone number: 408-706-6855
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Mailing Address
GINA MARIE LOPEZ
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 949-833-2237
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