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1538617022
MARTIN LOPEZ
SACATON, AZ
NPI
1538617022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ BH-123456)
Enumeration Date
2016-09-14
Last Update Date
2016-09-14
Business Address
-- MARTIN LOPEZ
483 W SEED FARM RD
SACATON, AZ 85147-0001
Phone number: 602-528-7106
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Mailing Address
-- MARTIN LOPEZ
PO BOX 38
SACATON, AZ 85147-0001
Phone number:
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