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1073025086
JENNIFER M LOPEZ
SAN MATEO, CA
NPI
1073025086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-10-31
Last Update Date
2017-10-31
Business Address
JENNIFER M LOPEZ
202 E BELLEVUE AVE
SAN MATEO, CA 94401-2305
Phone number: 650-947-8808
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Mailing Address
JENNIFER M LOPEZ
202 E BELLEVUE AVE
SAN MATEO, CA 94401-2305
Phone number: 650-947-8808
Copy
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