MARTIN LOPEZ

SACATON, AZ
NPI1538617022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: AZ  BH-123456)
Enumeration Date2016-09-14
Last Update Date2016-09-14
Business Address
MARTIN LOPEZ
483 W SEED FARM RD
SACATON, AZ 85147-0001
Phone number: 602-528-7106
Mailing Address
MARTIN LOPEZ
PO BOX 38
SACATON, AZ 85147-0001
Phone number:
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