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1043959059
LELA FORD
CERES, CA
NPI
1043959059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1427840421)
Enumeration Date
2022-05-31
Last Update Date
2023-09-04
Business Address
LELA FORD
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
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Mailing Address
LELA FORD
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-525-7411
Copy
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