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1033415963
LUCIANO LOPEZ
STOCKTON, CA
NPI
1033415963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-02-10
Last Update Date
2011-02-10
Business Address
-- LUCIANO LOPEZ
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
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Mailing Address
-- LUCIANO LOPEZ
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8660
Copy
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