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1730967639
ANIBAL LOPEZ
MODESTO, CA
NPI
1730967639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
ANIBAL LOPEZ
416 CORSON AVE
MODESTO, CA 95350-5408
Phone number: 209-521-1805
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Mailing Address
ANIBAL LOPEZ
307 E MINNESOTA AVE
TURLOCK, CA 95382-1409
Phone number: 209-535-0725
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