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1952856767
ANTONIO LOPEZ
STOCKTON, CA
NPI
1952856767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
-- ANTONIO LOPEZ
3601 PACIFIC AVE
STOCKTON, CA 95211-0110
Phone number: 209-476-1959
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Mailing Address
-- ANTONIO LOPEZ
3601 PACIFIC AVE
STOCKTON, CA 95211-0110
Phone number:
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