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1033782172
NICHOLAS LARA
FRESNO, CA
NPI
1033782172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-07-16
Last Update Date
2021-08-10
Business Address
NICHOLAS LARA
4205 W FIGARDEN DR
FRESNO, CA 93722-6051
Phone number: 559-221-1680
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Mailing Address
NICHOLAS LARA
4205 W FIGARDEN DR
FRESNO, CA 93722-6051
Phone number: 559-221-1680
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