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1245557131
LORRAINE LARES
STOCKTON, CA
NPI
1245557131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-04-30
Last Update Date
2010-04-30
Business Address
-- LORRAINE LARES
1700 S EL DORADO ST
STOCKTON, CA 95206-2000
Phone number: 209-456-5550
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Mailing Address
-- LORRAINE LARES
1700 S EL DORADO ST
STOCKTON, CA 95206-2000
Phone number: 209-456-5550
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