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1548601750
JORGE I LOPEZ
SAN DIEGO, CA
NPI
1548601750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 776558)
Enumeration Date
2013-07-16
Last Update Date
2013-07-16
Business Address
-- JORGE I LOPEZ RN
3778 ALBATROSS ST
SAN DIEGO, CA 92103-3925
Phone number: 619-519-1319
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Mailing Address
-- JORGE I LOPEZ RN
3778 ALBATROSS ST
SAN DIEGO, CA 92103-3925
Phone number: 619-519-1319
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