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1609453166
MACEL LOPEZ PEREZ
GLASGOW, KY
NPI
1609453166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
MACEL LOPEZ PEREZ
1325 N RACE ST
GLASGOW, KY 42141-3427
Phone number: 270-651-4865
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Mailing Address
MACEL LOPEZ PEREZ
5431 N ARLINGTON AVE
INDIANAPOLIS, IN 46226-1607
Phone number: 217-982-9234
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