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1942306121
EDWIN JOSE LOPEZ
SPRINGFIELD, MO
NPI
1942306121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MO 003456)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
-- EDWIN JOSE LOPEZ O.T.R.
2800 S FORT AVE
SPRINGFIELD, MO 65807-3480
Phone number: 417-882-0035
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Mailing Address
-- EDWIN JOSE LOPEZ O.T.R.
3672 W CARDINAL DR
SPRINGFIELD, MO 65810-1108
Phone number: 417-886-2622
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