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1992564017
ANTONIO LOPEZ
BETHLEHEM, PA
NPI
1992564017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
ANTONIO LOPEZ
801 OSTRUM ST
BETHLEHEM, PA 18015-1000
Phone number: 484-526-4644
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Mailing Address
ANTONIO LOPEZ
8001 BIG SPRUCE LN
FORT WORTH, TX 76123-5012
Phone number:
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