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1710631510
OMAR LOPEZ JR
FULLERTON, CA
NPI
1710631510
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-02-10
Last Update Date
2022-02-10
Business Address
OMAR LOPEZ JR
713 W COMMONWEALTH AVE STE C
FULLERTON, CA 92832-1612
Phone number: 714-879-4274
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Mailing Address
OMAR LOPEZ JR
15546 GEORGIA AVE
PARAMOUNT, CA 90723-4435
Phone number: 661-733-4925
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