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1902681117
VICTOR ALEJANDRO LOPEZ
BOUNTIFUL, UT
NPI
1902681117
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Other Name
ALEX LOPEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
VICTOR ALEJANDRO LOPEZ
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010-4995
Phone number: 801-683-1062
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Mailing Address
VICTOR ALEJANDRO LOPEZ
415 MEDICAL DR STE A100
BOUNTIFUL, UT 84010-4995
Phone number: 801-683-1062
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