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1194874495
LISA SELIZ
ONTARIO, CA
NPI
1194874495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
Mrs. LISA SELIZ
125 W F ST
ONTARIO, CA 91762-3262
Phone number: 909-986-4550
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Mailing Address
Mrs. LISA SELIZ
1009 ASHPORT ST
POMONA, CA 91768-2323
Phone number: 909-561-8899
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