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1437750577
JORGE ELISEO LOPEZ
LOS ANGELES, CA
NPI
1437750577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-11-04
Last Update Date
2023-11-25
Business Address
JORGE ELISEO LOPEZ
510 S VERMONT AVE
LOS ANGELES, CA 90020-1912
Phone number: 800-854-7771
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Mailing Address
JORGE ELISEO LOPEZ
510 S VERMONT AVE
LOS ANGELES, CA 90020-1912
Phone number: 626-893-9434
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