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1053981944
MARIO LOPEZ
STOCKTON, CA
NPI
1053981944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
MARIO LOPEZ
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
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Mailing Address
MARIO LOPEZ
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210-1835
Phone number: 209-294-9260
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