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1609551191
ELLY LOPEZ
CORPUS CHRISTI, TX
NPI
1609551191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
ELLY LOPEZ
52 ROCK CREEK DR
CORPUS CHRISTI, TX 78412-4214
Phone number: 210-913-9480
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Mailing Address
ELLY LOPEZ
52 ROCK CREEK DR
CORPUS CHRISTI, TX 78412-4214
Phone number: 210-913-9480
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