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1891002291
JOSE V LOPEZ
YAKIMA, WA
NPI
1891002291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA CG60187838)
Enumeration Date
2010-09-07
Last Update Date
2012-01-10
Business Address
-- JOSE V LOPEZ
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-575-4084
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Mailing Address
-- JOSE V LOPEZ
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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