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ANTONIO LOPES DOS SANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASE MANAGER

Contact information

Practice address
6877 WELL WOOD RD, APT 27-A, MIDVALE, UT 84047-4066
(801) 330-9799
Mailing address
6877 WELL WOOD RD, APT 27-A, MIDVALE, UT 84047-4066
(801) 330-9799

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/18/2011
Last updated
03/18/2011
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