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1053663153
RALPH LOPEZ
SAN BERNARDINO, CA
NPI
1053663153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 169303)
Enumeration Date
2012-10-12
Last Update Date
2017-01-19
Business Address
Mr. RALPH LOPEZ CATC
141 N ARROWHEAD AVE
SAN BERNARDINO, CA 92408-1016
Phone number: 909-963-5355
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Mailing Address
Mr. RALPH LOPEZ CATC
141 N ARROWHEAD AVE
SAN BERNARDINO, CA 92408-1016
Phone number: 909-963-5355
Copy
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