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1063675361
MARIAELENA LARA
LOS ANGELES, CA
NPI
1063675361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-07-07
Last Update Date
2008-07-07
Business Address
-- MARIAELENA LARA
3421 E OLYMPIC BLVD
LOS ANGELES, CA 90023-3030
Phone number: 323-262-1786
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Mailing Address
-- MARIAELENA LARA
3421 E OLYMPIC BLVD
LOS ANGELES, CA 90023-3030
Phone number: 323-262-1786
Copy
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