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1457379935
AMANTE AGUSTIN LOPEZ
BRIDGEPORT, WV
NPI
1457379935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WV 16170)
Enumeration Date
2006-07-17
Last Update Date
2018-01-17
Business Address
DR. AMANTE AGUSTIN LOPEZ MD
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1610
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Mailing Address
DR. AMANTE AGUSTIN LOPEZ MD
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1000
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