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1396184255
MARY BETH LOPEZ
GRAY, KY
NPI
1396184255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3008095)
Enumeration Date
2013-06-24
Last Update Date
2019-01-17
Business Address
Mrs. MARY BETH LOPEZ APRN
39 CUMBERLAND GAP PLZ
GRAY, KY 40734-4536
Phone number: 606-526-9005
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Mailing Address
Mrs. MARY BETH LOPEZ APRN
10755 N US HIGHWAY 25E
GRAY, KY 40734-6529
Phone number: 606-258-8050
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