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1598424764
JANE LIA LOPEZ
TIGARD, OR
NPI
1598424764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2021-12-15
Last Update Date
2024-10-22
Business Address
JANE LIA LOPEZ
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3690
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Mailing Address
JANE LIA LOPEZ
7226 SEPULVEDA BLVD
VAN NUYS, CA 91405-2003
Phone number: 818-235-1414
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