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1992382386
JONATHAN ISAIAS LOPEZ
HATTIESBURG, MS
NPI
1992382386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
JONATHAN ISAIAS LOPEZ
5001 HARDY ST
HATTIESBURG, MS 39402-1308
Phone number: 296-601-3963
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Mailing Address
JONATHAN ISAIAS LOPEZ
3108 N 1ST LN
MCALLEN, TX 78501-9423
Phone number:
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