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1548925175
JASON PATRICK LOPEZ
HUNTSVILLE, AL
NPI
1548925175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1606)
Enumeration Date
2021-11-08
Last Update Date
2021-11-08
Business Address
JASON PATRICK LOPEZ MS, LAT, ATC, CES
700 MONROE ST SW
HUNTSVILLE, AL 35801-5579
Phone number: 813-690-1290
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Mailing Address
JASON PATRICK LOPEZ MS, LAT, ATC, CES
132 PARKVIEW DR
MERIDIANVILLE, AL 35759-2339
Phone number: 813-690-1290
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