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1689433385
THERESA LOPEZ
LAKEPORT, CA
NPI
1689433385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-03-15
Last Update Date
2024-03-15
Business Address
THERESA LOPEZ
1111 WHALEN WAY
LAKEPORT, CA 95453-6009
Phone number: 707-234-3270
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Mailing Address
THERESA LOPEZ
PO BOX 2077
UKIAH, CA 95482-2077
Phone number: 707-467-2010
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