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1831760883
GILBERT A LOPEZ
SANTA ROSA, NM
NPI
1831760883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-07-09
Last Update Date
2021-07-09
Business Address
MR. GILBERT A LOPEZ CSW
1047 LAKE DR
SANTA ROSA, NM 88435-2561
Phone number: 575-512-6154
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Mailing Address
MR. GILBERT A LOPEZ CSW
1047 LAKE DR
SANTA ROSA, NM 88435-2561
Phone number: 572-472-5383
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