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1881186963
JEFFREY LOPEZ
HIALEAH, FL
NPI
1881186963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
JEFFREY LOPEZ
17670 NW 78TH AVE STE 111
HIALEAH, FL 33015-3665
Phone number: 786-806-7987
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Mailing Address
JEFFREY LOPEZ
17670 NW 78TH AVE STE 111
HIALEAH, FL 33015-3665
Phone number: 786-806-7987
Copy
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