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1710109160
MARILYN LOPEZ
VALLEY STREAM, NY
NPI
1710109160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: NY F340345)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- MARILYN LOPEZ
46 TODD RD
VALLEY STREAM, NY 11580-4018
Phone number: 516-823-0274
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Mailing Address
-- MARILYN LOPEZ
46 TODD RD
VALLEY STREAM, NY 11580-4018
Phone number:
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