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1952502973
BERNICE LOPEZ
SAN DIEGO, CA
NPI
1952502973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 3456)
Enumeration Date
2007-05-29
Last Update Date
2007-07-08
Business Address
BERNICE LOPEZ PTA
4655 RUFFNER ST STE 270
SAN DIEGO, CA 92111-2276
Phone number: 800-787-6787
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Mailing Address
BERNICE LOPEZ PTA
16844 EAST SAM GERRY DRIVE
LA PUENTE, CA 91744
Phone number: 626-641-0064
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