WILSON JONATHAN LOPEZ

PROVO, UT
NPI1598338006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2021-07-22
Last Update Date2023-08-08
Business Address
WILSON JONATHAN LOPEZ
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
WILSON JONATHAN LOPEZ
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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