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1558562462
LAVON BUNNY LOPEZ
MODESTO, CA
NPI
1558562462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
Mrs. LAVON BUNNY LOPEZ
1720 G ST
MODESTO, CA 95354-1214
Phone number: 209-525-6060
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Mailing Address
Mrs. LAVON BUNNY LOPEZ
4308 SPARTANS LN
MODESTO, CA 95355-9323
Phone number: 209-525-6060
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