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1770920159
FREDDIE LOPEZ
LAS VEGAS, NV
NPI
1770920159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-05-27
Last Update Date
2015-11-24
Business Address
Mr. FREDDIE LOPEZ
2810 W CHARLESTON BLVD STE 70
LAS VEGAS, NV 89102-1993
Phone number: 702-822-1556
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Mailing Address
Mr. FREDDIE LOPEZ
3110 BURNING TREE CT
PAHRUMP, NV 89048-5787
Phone number: 775-513-4903
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