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1154005056
VALERIE LARA
BLOOMINGTON, CA
NPI
1154005056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
VALERIE LARA
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number: 909-421-7120
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Mailing Address
VALERIE LARA
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number:
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