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1942866090
JAIME EDUARDO LOPEZ
FRESNO, CA
NPI
1942866090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2019-05-14
Last Update Date
2024-01-23
Business Address
JAIME EDUARDO LOPEZ
3433 W SHAW AVE # 107
FRESNO, CA 93711-3229
Phone number: 559-476-2115
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Mailing Address
JAIME EDUARDO LOPEZ
3433 W SHAW AVE # 107
FRESNO, CA 93711-3229
Phone number: 559-476-2115
Copy
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