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1740433655
CHARLES JOHN LOPEZ
HINES, IL
NPI
1740433655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
(Licence: IL 211000139)
Enumeration Date
2008-10-23
Last Update Date
2008-10-23
Business Address
Mr. CHARLES JOHN LOPEZ
5000 S 5TH AVE ROUTING 121B
HINES, IL 60141-3030
Phone number: 708-202-8387
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Mailing Address
Mr. CHARLES JOHN LOPEZ
5000 S 5TH AVE ROUTING 121B
HINES, IL 60141-3030
Phone number: 708-202-8387
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