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1871623876
MARTIN JOSE LOPEZ
PASCO, WA
NPI
1871623876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA OA10000117)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mr. MARTIN JOSE LOPEZ P.A.
5304 N ROAD 68
PASCO, WA 99301-9189
Phone number: 509-543-9300
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Mailing Address
Mr. MARTIN JOSE LOPEZ P.A.
6207 COWLITZ LN
PASCO, WA 99301-6760
Phone number: 509-547-2607
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