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Individual

LEMUEL LOPEZ NOVENCIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
106 MONROE ST, OCEANSIDE, CA 92057-4418
(760) 994-3378
Mailing address
106 MONROE ST, OCEANSIDE, CA 92057-4418
(760) 994-3378

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Enumeration date
02/07/2011
Last updated
02/07/2011
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