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1770276628
IVAN LOPEZ
EL PASO, TX
NPI
1770276628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10085745)
Enumeration Date
2023-05-29
Last Update Date
2023-05-30
Business Address
IVAN LOPEZ
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-215-8000
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Mailing Address
IVAN LOPEZ
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number:
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