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1588251631
AXEL LOPEZ
FORT MYERS, FL
NPI
1588251631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL4133)
Enumeration Date
2020-12-23
Last Update Date
2020-12-23
Business Address
AXEL LOPEZ
14110 SIX MILE CYPRESS PKWY
FORT MYERS, FL 33912-4314
Phone number: 570-801-0492
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Mailing Address
AXEL LOPEZ
8165 PACIFIC BEACH DR
FORT MYERS, FL 33966-7955
Phone number:
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