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1669139358
BRENDAN AKIRA LOPEZ
SAN JOSE, CA
NPI
1669139358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 2000042413)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
BRENDAN AKIRA LOPEZ ATC
2281 PLUMMER AVE
SAN JOSE, CA 95125-4700
Phone number: 408-264-1664
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Mailing Address
BRENDAN AKIRA LOPEZ ATC
1731 MICHON DR
SAN JOSE, CA 95124-5721
Phone number: 408-693-9314
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