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1417500109
ALEXANDRA JO LOPEZ
MODESTO, CA
NPI
1417500109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 73717)
Enumeration Date
2019-07-22
Last Update Date
2019-07-22
Business Address
ALEXANDRA JO LOPEZ
2020 W BRIGGSMORE AVE
MODESTO, CA 95350-3791
Phone number: 209-521-5713
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Mailing Address
ALEXANDRA JO LOPEZ
2020 W BRIGGSMORE AVE
MODESTO, CA 95350-3791
Phone number: 209-521-5713
Copy
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