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1568056554
SAN JUANITA LOPEZ
LAWTON, OK
NPI
1568056554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-02-22
Last Update Date
2021-02-22
Business Address
SAN JUANITA LOPEZ BS
317 SW C AVE
LAWTON, OK 73501-4016
Phone number: 580-250-1123
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Mailing Address
SAN JUANITA LOPEZ BS
317 SW C AVE
LAWTON, OK 73501-4016
Phone number:
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