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Individual

GILBERTO LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2040 FITZHUGH ST, BATESVILLE, AR 72501-7409
(870) 793-3334
Mailing address
2040 FITZHUGH ST, BATESVILLE, AR 72501-7409
(870) 793-3334

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RE2695
AR

Other

Enumeration date
11/21/2011
Last updated
11/21/2011
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