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1770340515
JAVIER LOPEZ
EL CENTRO, CA
NPI
1770340515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029225)
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
JAVIER LOPEZ FNP
1520 S IMPERIAL AVE
EL CENTRO, CA 92243-4241
Phone number: 760-352-2551
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Mailing Address
JAVIER LOPEZ FNP
71 W MALLARD ST
HEBER, CA 92249-9661
Phone number: 760-554-9789
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