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1790313062
JONATHAN LOPEZ
GAINESVILLE, FL
NPI
1790313062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-31
Last Update Date
2020-03-31
Business Address
JONATHAN LOPEZ
1600 SW ARCHER RD STE 4102
GAINESVILLE, FL 32610-3003
Phone number: 352-265-0239
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Mailing Address
JONATHAN LOPEZ
PO BOX 100265
GAINESVILLE, FL 32610-0265
Phone number: 352-265-0239
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