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1457882037
SHANTALL LOPEZ
FRESNO, CA
NPI
1457882037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN 683102)
Enumeration Date
2017-03-24
Last Update Date
2017-03-24
Business Address
-- SHANTALL LOPEZ
6022 W ALLUVIAL AVE
FRESNO, CA 93722-2607
Phone number: 269-689-9301
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Mailing Address
-- SHANTALL LOPEZ
6022 W ALLUVIAL AVE
FRESNO, CA 93722-2607
Phone number: 269-689-9301
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