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1033456272
EDWARD FRANCISCO LOPEZ
POMONA, CA
NPI
1033456272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-01-08
Last Update Date
2013-01-08
Business Address
Mr. EDWARD FRANCISCO LOPEZ
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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Mailing Address
Mr. EDWARD FRANCISCO LOPEZ
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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