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Individual
JOSE ANTONIO LOPEZ
Active
Individual
JOSE ANTONIO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601708511
ID
NV
Enumeration date
02/13/2020
Last updated
02/13/2020
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