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1114590049
BRENDA LARA
YUMA, AZ
NPI
1114590049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ LAC-18298)
Enumeration Date
2021-07-19
Last Update Date
2021-07-19
Business Address
BRENDA LARA
10252 E 37TH PL
YUMA, AZ 85365-7059
Phone number: 928-503-3628
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Mailing Address
BRENDA LARA
10252 E 37TH PL
YUMA, AZ 85365-7059
Phone number: 928-503-3628
Copy
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