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1134888951
JORGE JUAREZ-LOPEZ
IRVINE, CA
NPI
1134888951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 129138)
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
JORGE JUAREZ-LOPEZ
17982 SKY PARK CIR STE J
IRVINE, CA 92614-6482
Phone number: 949-809-5712
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Mailing Address
JORGE JUAREZ-LOPEZ
PO BOX 720
LAGUNA BEACH, CA 92652-0720
Phone number:
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