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1205520954
MARIO LOPEZ
LOS ANGELES, CA
NPI
1205520954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
MARIO LOPEZ
145 W 22ND ST
LOS ANGELES, CA 90007-1405
Phone number: 213-841-0400
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Mailing Address
MARIO LOPEZ
145 W 22ND ST
LOS ANGELES, CA 90007-1405
Phone number: 213-841-0400
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