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1104601905
JAMES A LOPEZ
RIVERSIDE, CA
NPI
1104601905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 15122)
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
JAMES A LOPEZ SUDRC
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-683-6596
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Mailing Address
JAMES A LOPEZ SUDRC
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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