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1720163348
ANDREA LYNN LOPEZ
WEST LAFAYETTE, IN
NPI
1720163348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN 36001327A)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
-- ANDREA LYNN LOPEZ ATC
900 N. UNIVERSITY AVE ROOM B63
WEST LAFAYETTE, IN 47907
Phone number: 765-494-3245
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Mailing Address
-- ANDREA LYNN LOPEZ ATC
3860 LEDYARD ST.
WEST LAFAYETTE, IN 47906
Phone number: 765-418-5102
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