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1013367911
LILIANA MIRELES
POMONA, CA
NPI
1013367911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 8153-R)
Enumeration Date
2016-06-21
Last Update Date
2016-06-21
Business Address
-- LILIANA MIRELES
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-1831
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Mailing Address
-- LILIANA MIRELES
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-1831
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