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1568492528
WILSON LOPEZ
DORAL, FL
NPI
1568492528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME89966)
Enumeration Date
2006-07-04
Last Update Date
2021-06-30
Business Address
WILSON LOPEZ
3155 NW 82ND AVE STE 102
DORAL, FL 33122-1056
Phone number: 305-591-2988
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Mailing Address
WILSON LOPEZ
3155 NW 82ND AVE STE 102
DORAL, FL 33122-1056
Phone number: 305-591-2988
Copy
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