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Individual

TERESA MARIE LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
515 28 3/4 RD, GRAND JUNCTION, CO 81501-5016
(970) 241-6023
(970) 242-8330
Mailing address
3360 N HIGHWAY 59 STE K, MERCED, CA 95348-9405
(209) 726-3090

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/05/2016
Last updated
02/27/2018
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