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1871252270
JORGE RAFAEL LOPEZ LUGO
MIAMI, FL
NPI
1871252270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-12-13
Last Update Date
2021-12-14
Business Address
JORGE RAFAEL LOPEZ LUGO
12030 SW 129TH CT STE 206
MIAMI, FL 33186-4584
Phone number: 305-432-4032
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Mailing Address
JORGE RAFAEL LOPEZ LUGO
2953 SW 39TH AVE
MIAMI, FL 33134-7352
Phone number: 786-320-1677
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