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1730955857
AMANDA MARIE LOPEZ
ELK GROVE, CA
NPI
1730955857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95028171)
Enumeration Date
2023-11-29
Last Update Date
2023-11-29
Business Address
AMANDA MARIE LOPEZ FNP-BC
9093 ELK GROVE BLVD STE 100
ELK GROVE, CA 95624-2047
Phone number: 916-937-3094
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Mailing Address
AMANDA MARIE LOPEZ FNP-BC
9641 OAK RESERVE LN
ELK GROVE, CA 95758-1262
Phone number: 575-635-0935
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