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1669053948
ROBERT WALTER LOPEZ
PEORIA, IL
NPI
1669053948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036167076)
Enumeration Date
2021-04-18
Last Update Date
2023-10-17
Business Address
ROBERT WALTER LOPEZ
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2109
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Mailing Address
ROBERT WALTER LOPEZ
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2109
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