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1760812861
ELIZABETH LOPEZ
DAYTONA BEACH, FL
NPI
1760812861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: FL IMH11795)
Enumeration Date
2013-11-26
Last Update Date
2013-11-26
Business Address
Mrs. ELIZABETH LOPEZ
841 JIMMY ANN DR
DAYTONA BEACH, FL 32117-4583
Phone number: 386-425-3900
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Mailing Address
Mrs. ELIZABETH LOPEZ
1293 SUNNINGDALE LN
ORMOND BEACH, FL 32174-1406
Phone number: 386-837-3250
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