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1588382105
VANESSA KAYLA LOPEZ
SAN DIEGO, CA
NPI
1588382105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2022-08-19
Last Update Date
2023-02-03
Business Address
VANESSA KAYLA LOPEZ IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
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Mailing Address
VANESSA KAYLA LOPEZ IDC
239 EBONY AVE
IMPERIAL BEACH, CA 91932-2539
Phone number: 402-972-6248
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