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1669908018
JOSE CARLOS LOPEZ
TYLER, TX
NPI
1669908018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
(Licence: TX ATP88042)
Enumeration Date
2017-05-04
Last Update Date
2017-05-04
Business Address
-- JOSE CARLOS LOPEZ ATP
12406 STATE HIGHWAY 155 S
TYLER, TX 75703-6446
Phone number: 903-592-6760
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Mailing Address
-- JOSE CARLOS LOPEZ ATP
12406 SH 155 SOUTH
TYLER, TX 75703
Phone number: 903-592-6760
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