ROGELIO LARA

ONTARIO, OR
NPI1073644464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
-- ROGELIO LARA ADES, CADCII
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
Mailing Address
-- ROGELIO LARA ADES, CADCII
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-889-9167
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