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1962120840
HENRY LOPEZ
TAOS, NM
NPI
1962120840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-08-17
Last Update Date
2022-08-17
Business Address
HENRY LOPEZ
105 BERTHA RD STE B
TAOS, NM 87571-7148
Phone number: 575-758-4297
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Mailing Address
HENRY LOPEZ
1512 STATE RD 522
SAN CRISTOBAL, NM 87564
Phone number:
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