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1972104974
JESUS LOPEZ
MEMPHIS, TN
NPI
1972104974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 7664)
Enumeration Date
2020-11-05
Last Update Date
2021-11-18
Business Address
JESUS LOPEZ
871 RIDGEWAY LOOP RD STE 100
MEMPHIS, TN 38120-4026
Phone number: 615-850-3773
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Mailing Address
JESUS LOPEZ
805 ARRINGTON WAY
COLUMBIA, TN 38401-1689
Phone number: 925-321-3730
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