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1811554017
GINA JASMIN LOPEZ
ORLANDO, FL
NPI
1811554017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL OTA15567)
Enumeration Date
2019-05-22
Last Update Date
2019-05-22
Business Address
GINA JASMIN LOPEZ
5069 WALNUT RIDGE DR
ORLANDO, FL 32829-8271
Phone number: 321-303-6276
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Mailing Address
GINA JASMIN LOPEZ
5069 WALNUT RIDGE DR
ORLANDO, FL 32829-8271
Phone number: 321-303-6276
Copy
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