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1104516616
CARLA GUADALUPE LOPEZ AGUILAR
MOSES LAKE, WA
NPI
1104516616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2023-05-09
Last Update Date
2023-05-09
Business Address
CARLA GUADALUPE LOPEZ AGUILAR
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-764-2011
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Mailing Address
CARLA GUADALUPE LOPEZ AGUILAR
1844 W BROADWAY AVE UNIT 6
MOSES LAKE, WA 98837-2659
Phone number: 509-770-9994
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