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1902345895
LISA MARIE LOPEZ
MODESTO, CA
NPI
1902345895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-02-13
Last Update Date
2017-02-13
Business Address
Mrs. LISA MARIE LOPEZ
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-525-7339
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Mailing Address
Mrs. LISA MARIE LOPEZ
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-525-7339
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