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1033987458
JESSICA VICTORIA LARA
FRESNO, CA
NPI
1033987458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-12-14
Last Update Date
2023-12-14
Business Address
JESSICA VICTORIA LARA
4411 N CEDAR AVE
FRESNO, CA 93726-2538
Phone number: 559-248-1548
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Mailing Address
JESSICA VICTORIA LARA
2937 GLADE AVE
MADERA, CA 93637-8629
Phone number: 559-598-1104
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