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1821231671
JUAN J LOPEZ
HIALEAH, FL
NPI
1821231671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
(Licence: FL DO4898)
Enumeration Date
2009-04-09
Last Update Date
2009-04-09
Business Address
MR. JUAN J LOPEZ
5207 W 24TH AVE
HIALEAH, FL 33016-4007
Phone number: 305-231-2035
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Mailing Address
MR. JUAN J LOPEZ
5207 W 24TH AVE
HIALEAH, FL 33016-4007
Phone number: 305-231-2035
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