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1952974735
JOSUE EDENILSON LOPEZ
SANTA CRUZ, CA
NPI
1952974735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
JOSUE EDENILSON LOPEZ MA
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4170
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Mailing Address
JOSUE EDENILSON LOPEZ MA
1400 EMELINE AVE
SANTA CRUZ, CA 95060-1976
Phone number: 831-454-4170
Copy
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