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1184270720
EMILIO LOPEZ
FULLERTON, CA
NPI
1184270720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10886)
Enumeration Date
2019-08-09
Last Update Date
2022-12-27
Business Address
EMILIO LOPEZ
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number: 714-408-0799
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Mailing Address
EMILIO LOPEZ
218 E COMMONWEALTH AVE
FULLERTON, CA 92832-1911
Phone number:
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