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1417375106
TREVOR LOPEZ
DETROIT, MI
NPI
1417375106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001214)
Enumeration Date
2014-03-31
Last Update Date
2014-03-31
Business Address
-- TREVOR LOPEZ
6525 2ND AVE
DETROIT, MI 48202-3006
Phone number: 313-972-4060
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Mailing Address
-- TREVOR LOPEZ
6525 2ND AVE
DETROIT, MI 48202-3006
Phone number:
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