Individual
MR. CARLOS ANGEL LOPEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1424 2ND ST N, SAUK RAPIDS, MN 56379-2533
(651) 313-8080
Mailing address
810 ROBERTS RD APT 309, SARTELL, MN 56377-4133
(320) 221-6189
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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