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1497372502
IVY L LOPEZ
FORT WORTH, TX
NPI
1497372502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 349833)
Enumeration Date
2020-07-06
Last Update Date
2020-07-06
Business Address
IVY L LOPEZ
10717 BROKEN ARROW TRL
FORT WORTH, TX 76108-4751
Phone number: 903-340-7972
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Mailing Address
IVY L LOPEZ
10717 BROKEN ARROW TRL
FORT WORTH, TX 76108-4751
Phone number:
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