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1518494962
JUAN LOPEZ
WAYNESBURG, PA
NPI
1518494962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT006146)
Enumeration Date
2017-05-16
Last Update Date
2017-05-16
Business Address
Mr. JUAN LOPEZ ATC
1352 HARGUS CREEK RD
WAYNESBURG, PA 15370-3814
Phone number: 724-499-5191
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Mailing Address
Mr. JUAN LOPEZ ATC
191 BEDFORD AVE
GARDEN CITY PARK, NY 11040-5216
Phone number: 516-761-4427
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