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1073644464
ROGELIO LARA
ONTARIO, OR
NPI
1073644464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
ROGELIO LARA ADES, CADCII
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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Mailing Address
ROGELIO LARA ADES, CADCII
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
Copy
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