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1629231980
LIDICE LOPEZ
MIAMI, FL
NPI
1629231980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9104530)
Enumeration Date
2008-07-08
Last Update Date
2009-09-11
Business Address
LIDICE LOPEZ PA
1400 NW 12TH AVE SUITE 104
MIAMI, FL 33136-1003
Phone number: 305-545-6685
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Mailing Address
LIDICE LOPEZ PA
261 W 32ND ST
HIALEAH, FL 33012-5317
Phone number: 305-528-0447
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