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1760174015
DEMITRI E LOPEZ
PASADENA, CA
NPI
1760174015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-24
Last Update Date
2023-09-29
Business Address
DEMITRI E LOPEZ
2750 E WASHINGTON BLVD STE 230
PASADENA, CA 91107-1449
Phone number: 626-296-8900
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Mailing Address
DEMITRI E LOPEZ
520 S EUCLID ST
LA HABRA, CA 90631-6111
Phone number: 562-337-2771
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