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1245880111
JUAN LARA
SAN ANTONIO, TX
NPI
1245880111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 74387)
Enumeration Date
2019-09-12
Last Update Date
2023-02-28
Business Address
JUAN LARA
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207-3011
Phone number: 210-261-1300
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Mailing Address
JUAN LARA
6800 PARK TEN BLVD STE 200S
SAN ANTONIO, TX 78213-4293
Phone number: 210-261-1060
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