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1780454058
ROMAN LOPEZ
SANTA MARIA, CA
NPI
1780454058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-01-08
Last Update Date
2024-01-08
Business Address
ROMAN LOPEZ
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA 93454-7023
Phone number: 805-621-7714
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Mailing Address
ROMAN LOPEZ
1671 MELROSE DR
CORONA, CA 92878-3607
Phone number: 951-582-1841
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