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1629421102
ADITAIM LOPEZ MARTINEZ
TUSTIN, CA
NPI
1629421102
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Professional Name
ADITAIM LOPEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95004455)
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
-- ADITAIM LOPEZ MARTINEZ N.P.
13522 NEWPORT AVE UNIT 200
TUSTIN, CA 92780-3707
Phone number: 800-658-5877
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Mailing Address
-- ADITAIM LOPEZ MARTINEZ N.P.
1354 KILBY LN
VISTA, CA 92083-7166
Phone number: 760-845-0363
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