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1891553913
ALFREDO IVAN LOPEZ
FRESNO, CA
NPI
1891553913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95029419)
Enumeration Date
2024-03-12
Last Update Date
2024-03-12
Business Address
Mr. ALFREDO IVAN LOPEZ NP
135 W SHAW AVE
FRESNO, CA 93704-2825
Phone number: 559-258-0968
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Mailing Address
Mr. ALFREDO IVAN LOPEZ NP
2204 RIESLING AVE
HANFORD, CA 93230-8133
Phone number: 559-707-9338
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