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1568004125
MIGUEL ANTONIO LOPEZ
NEW YORK, NY
NPI
1568004125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
MIGUEL ANTONIO LOPEZ
181 CANAL ST FL 4
NEW YORK, NY 10013-4512
Phone number: 212-966-9537
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Mailing Address
MIGUEL ANTONIO LOPEZ
181 CANAL ST FL 4
NEW YORK, NY 10013-4512
Phone number:
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