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1881144293
ASRIEL LOPEZ
TAMPA, FL
NPI
1881144293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320700000X Residential Treatment Facility, Physical Disabilities
(Licence: FL AL11512)
Enumeration Date
2016-10-10
Last Update Date
2016-10-10
Business Address
-- ASRIEL LOPEZ
3211 W SITKA ST
TAMPA, FL 33614-2701
Phone number: 813-410-0828
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Mailing Address
-- ASRIEL LOPEZ
3211 W SITKA ST
TAMPA, FL 33614-2701
Phone number: 813-410-0828
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