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1063666345
PATRICIA GINA LARA
FRESNO, CA
NPI
1063666345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-11-12
Last Update Date
2008-11-12
Business Address
-- PATRICIA GINA LARA
4944 E CLINTON WAY STUITE 101
FRESNO, CA 93727-1527
Phone number: 559-251-4800
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Mailing Address
-- PATRICIA GINA LARA
6371 S CLARA AVE
FRESNO, CA 93706-6011
Phone number: 559-251-4800
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