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1396886271
BLANCA ODALYS LOPEZ
MACON, GA
NPI
1396886271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 044522)
Enumeration Date
2007-02-12
Last Update Date
2016-04-11
Business Address
-- BLANCA ODALYS LOPEZ MD
250 MARTIN LUTHER KING JR BLVD
MACON, GA 31201-3490
Phone number: 478-301-4111
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Mailing Address
-- BLANCA ODALYS LOPEZ MD
PO BOX 4947
MACON, GA 31208-4947
Phone number: 478-301-2362
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