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1447617089
LOPEZ IN
OKLAHOMA CITY, OK
NPI
1447617089
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Entity Type
Organization
Authorized Contact
AMANDA LOPEZ
Owner
405-640-3479
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2016-01-27
Last Update Date
2016-01-27
Business Address
LOPEZ IN
1571 SW 43RD ST
OKLAHOMA CITY, OK 73119-4053
Phone number: 405-640-3479
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Mailing Address
LOPEZ IN
1571 SW 43
OKLAHOMA, OK 73119
Phone number: 405-640-3479
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