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1184295156
SERGIO LARA
TURLOCK, CA
NPI
1184295156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-07-09
Last Update Date
2022-09-27
Business Address
SERGIO LARA MA
875 GEER RD
TURLOCK, CA 95380-3311
Phone number: 209-633-3057
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Mailing Address
SERGIO LARA MA
875 GEER RD
TURLOCK, CA 95380-3311
Phone number: 209-633-3057
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