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1811462617
EDWARD JOHN LOPEZ
BEAUMONT, CA
NPI
1811462617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
Mr. EDWARD JOHN LOPEZ
14700 MANZANITA RD
BEAUMONT, CA 92223-3026
Phone number: 951-845-3155
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Mailing Address
Mr. EDWARD JOHN LOPEZ
14700 MANZANITA RD
BEAUMONT, CA 92223-3026
Phone number: 951-845-3155
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