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1487141941
VIRGINIA LOPEZ
SLC, UT
NPI
1487141941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
VIRGINIA LOPEZ
443 S 600 E
SLC, UT 84102-2708
Phone number: 801-536-6523
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Mailing Address
VIRGINIA LOPEZ
4460 S HIGHLAND DR
SLC, UT 84124-3543
Phone number:
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