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1689970584
RICHARD LOPEZ
TAMPA, FL
NPI
1689970584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-02-10
Last Update Date
2011-02-10
Business Address
-- RICHARD LOPEZ MCP
11428 N 53RD ST
TAMPA, FL 33617-2216
Phone number: 813-374-9416
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Mailing Address
-- RICHARD LOPEZ MCP
4234 BISMARCK PALM DR
TAMPA, FL 33610-9035
Phone number: 813-445-9131
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