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1740954536
TIESE LOPEZ
TEMECULA, CA
NPI
1740954536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95017760)
Enumeration Date
2021-08-04
Last Update Date
2021-08-31
Business Address
TIESE LOPEZ NP
33205 TEMECULA PKWY
TEMECULA, CA 92592-9142
Phone number: 951-303-3164
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Mailing Address
TIESE LOPEZ NP
33205 TEMECULA PKWY
TEMECULA, CA 92592-9142
Phone number: 626-367-8420
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