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1689105686
JUAN CARLOS LOPEZ
STOCKTON, CA
NPI
1689105686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
-- JUAN CARLOS LOPEZ ATC
2357 W MARCH LN
STOCKTON, CA 95207-5239
Phone number: 209-477-9300
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Mailing Address
-- JUAN CARLOS LOPEZ ATC
5599 GREENOAKS DR
RIVERBANK, CA 95367-3846
Phone number: 209-613-5130
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