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1710491212
LISA ANN LOPEZ
GRAND RAPIDS, MI
NPI
1710491212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703119516)
Enumeration Date
2017-11-21
Last Update Date
2017-11-21
Business Address
LISA ANN LOPEZ
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-301-8184
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Mailing Address
LISA ANN LOPEZ
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-301-8184
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