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1548086358
LUIS DANIEL LOPEZ
EUREKA, CA
NPI
1548086358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95220890)
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
LUIS DANIEL LOPEZ
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
LUIS DANIEL LOPEZ
1587 LELAND ST
BEAUMONT, CA 92223-3102
Phone number: 909-801-0144
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