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Individual

ALEXANDER LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
815 TOWER PARK DR, WATERLOO, IA 50701-9027
(319) 217-9256
Mailing address
815 TOWER PARK DR, WATERLOO, IA 50701-9027

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IA

Other

Enumeration date
02/21/2025
Last updated
02/21/2025
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