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1952040131
JOSE LOPEZ
PHOENIX, AZ
NPI
1952040131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AZ 9353)
Enumeration Date
2022-06-03
Last Update Date
2022-10-24
Business Address
JOSE LOPEZ PA-C
9015 N 3RD ST
PHOENIX, AZ 85020-2444
Phone number: 480-882-4545
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Mailing Address
JOSE LOPEZ PA-C
7500 N DREAMY DRAW DR STE 145
PHOENIX, AZ 85020-4668
Phone number: 480-882-4545
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