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1457070872
LATOSHA LOPEZ
MAPLEWOOD, MN
NPI
1457070872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MN 9465)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
LATOSHA LOPEZ NP
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109-2708
Phone number: 651-704-3022
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Mailing Address
LATOSHA LOPEZ NP
3153 164TH AVE NW
ANDOVER, MN 55304-2451
Phone number: 612-290-1514
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