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1073252946
MARISELA AVILA LARA
DESERT HOT SPRINGS, CA
NPI
1073252946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 13180)
Enumeration Date
2022-05-31
Last Update Date
2022-05-31
Business Address
MARISELA AVILA LARA
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA 92240-1419
Phone number: 760-329-2924
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Mailing Address
MARISELA AVILA LARA
7885 ANNANDALE AVE
DESERT HOT SPRINGS, CA 92240-1419
Phone number: 760-329-2924
Copy
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