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1417454430
MARC INFANTE LOPEZ
STOCKTON, CA
NPI
1417454430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 785849)
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
MARC INFANTE LOPEZ
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0102
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Mailing Address
MARC INFANTE LOPEZ
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-0102
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