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1962883124
JENNIFER LOPEZ
SACRAMENTO, CA
NPI
1962883124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 15264 TLG)
Enumeration Date
2015-06-13
Last Update Date
2022-01-03
Business Address
JENNIFER LOPEZ O.D.
5773 GREENBACK LN
SACRAMENTO, CA 95841-2013
Phone number: 916-863-3143
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Mailing Address
JENNIFER LOPEZ O.D.
5773 GREENBACK LN
SACRAMENTO, CA 95841-2013
Phone number:
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