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1770676884
SANDRA B LOPEZ
PORT ST LUCIE, FL
NPI
1770676884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: FL PA9103461)
Enumeration Date
2006-10-02
Last Update Date
2009-01-30
Business Address
SANDRA B LOPEZ PA
9850 S FEDERAL HIGHWAY
PORT ST LUCIE, FL 34972
Phone number: 772-335-1500
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Mailing Address
SANDRA B LOPEZ PA
5807 NW ALLYSE DR
PORT ST LUCIE, FL 34986-4650
Phone number: 772-905-2583
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