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1720739568
RICARDO LOPEZ
MESA, AZ
NPI
1720739568
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Professional Name
N/A N/A N/A
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 9526)
Enumeration Date
2022-01-13
Last Update Date
2024-01-20
Business Address
RICARDO LOPEZ PA
550 W BASELINE RD STE 102-435
MESA, AZ 85210-6040
Phone number: 323-487-3202
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Mailing Address
RICARDO LOPEZ PA
550 W BASELINE RD STE 102-435
MESA, AZ 85210-6040
Phone number: 323-487-3202
Copy
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