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1205652096
VANESSA LOPEZ
COLTON, CA
NPI
1205652096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1569180724)
Enumeration Date
2024-11-26
Last Update Date
2024-11-26
Business Address
VANESSA LOPEZ
23950 PRADO LN
COLTON, CA 92324-9734
Phone number: 909-514-1958
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Mailing Address
VANESSA LOPEZ
23950 PRADO LN
COLTON, CA 92324-9734
Phone number:
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