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1962159939
SAMANTHA-JANE LOPEZ
GRAND RAPIDS, MI
NPI
1962159939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2022-03-09
Last Update Date
2022-03-09
Business Address
SAMANTHA-JANE LOPEZ
6810 OLD 28TH ST SE STE 4
GRAND RAPIDS, MI 49546-6932
Phone number: 616-516-3396
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Mailing Address
SAMANTHA-JANE LOPEZ
959 HOUSEMAN AVE NE
GRAND RAPIDS, MI 49503-1280
Phone number:
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