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1235599861
ROSE LOPEZ
AZUSA, CA
NPI
1235599861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-02-24
Last Update Date
2016-02-24
Business Address
-- ROSE LOPEZ
23701 E EAST FORK RD
AZUSA, CA 91702-1477
Phone number: 626-250-3290
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Mailing Address
-- ROSE LOPEZ
23701 E EAST FORK RD
AZUSA, CA 91702-1477
Phone number: 626-250-3290
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