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1548778947
JORGE LOPEZ
LOS ANGELES, CA
NPI
1548778947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2018-01-19
Last Update Date
2018-01-19
Business Address
JORGE LOPEZ
12099 W WASHINGTON BLVD STE 200
LOS ANGELES, CA 90066-2622
Phone number: 310-751-1171
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Mailing Address
JORGE LOPEZ
12099 W WASHINGTON BLVD STE 200
LOS ANGELES, CA 90066-2622
Phone number:
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