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Individual
MR. ISAIAH JACOB LOPEZ
Active
Individual
MR. ISAIAH JACOB LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-208585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101520787600
AETNACVSHEALTH SILVER 2 HMO HEALTH INSURANCE
TX
Enumeration date
03/24/2022
Last updated
03/24/2022
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