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1003104068
LOLITA PATRICIA XUNCAX
SACRAMENTO, CA
NPI
1003104068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-07-12
Last Update Date
2011-07-12
Business Address
Miss LOLITA PATRICIA XUNCAX rrw
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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Mailing Address
Miss LOLITA PATRICIA XUNCAX rrw
7689 MANORSIDE DR
SACRAMENTO, CA 95832-1203
Phone number: 916-910-4219
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