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1518367986
EVANGELINA MARISELA LOPEZ
CERES, CA
NPI
1518367986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-09-03
Last Update Date
2021-12-29
Business Address
EVANGELINA MARISELA LOPEZ
3037 10TH ST APT 4
CERES, CA 95307-3861
Phone number: 209-480-4862
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Mailing Address
EVANGELINA MARISELA LOPEZ
3037 10TH ST APT 4
CERES, CA 95307-3861
Phone number: 209-480-4862
Copy
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