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1407132772
MICHAEL LOPEZ
POMPANO BEACH, FL
NPI
1407132772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2011-10-31
Last Update Date
2011-10-31
Business Address
-- MICHAEL LOPEZ
2708 NE 14TH ST SUITE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270
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Mailing Address
-- MICHAEL LOPEZ
1400 COLEMAN AVE MERCER BOX 72807
MACON, GA 31207-0001
Phone number: 706-260-9570
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