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1841866399
CARLOS ENCISO LOPEZ
ANN ARBOR, MI
NPI
1841866399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351047636)
Enumeration Date
2021-06-03
Last Update Date
2021-06-03
Business Address
CARLOS ENCISO LOPEZ MD
1500 E MEDICAL CENTER DR # TCB1380
ANN ARBOR, MI 48109-5000
Phone number: 734-763-7919
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Mailing Address
CARLOS ENCISO LOPEZ MD
1500 E MEDICAL CENTER DR # TCB1380
ANN ARBOR, MI 48109-5000
Phone number:
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