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1063843522
JESSICA LARA
CAMARILLO, CA
NPI
1063843522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-12-10
Last Update Date
2013-12-10
Business Address
-- JESSICA LARA
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
-- JESSICA LARA
343 FULTON ST
CAMARILLO, CA 93010-6544
Phone number: 805-383-3669
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