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1245537497
LORI JEAN DIEQUEZ
RIVERSIDE, CA
NPI
1245537497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-02-24
Last Update Date
2014-10-16
Business Address
Ms. LORI JEAN DIEQUEZ
5870 ARLINGTON AVE #103
RIVERSIDE, CA 92504-3008
Phone number: 951-683-6569
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Mailing Address
Ms. LORI JEAN DIEQUEZ
5870 ARLINGTON AVE # 103
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6569
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