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1023629953
LISA MARIE CHAVEZ
BAKERSFIELD, CA
NPI
1023629953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
LISA MARIE CHAVEZ
2901 S H ST
BAKERSFIELD, CA 93304-5602
Phone number: 661-398-4303
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Mailing Address
LISA MARIE CHAVEZ
2901 S H ST
BAKERSFIELD, CA 93304-5602
Phone number: 661-398-4303
Copy
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