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1255920096
SYERRA LANIE AVALOS
ORANGE, CA
NPI
1255920096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-15
Last Update Date
2021-01-15
Business Address
SYERRA LANIE AVALOS
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 714-742-6953
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Mailing Address
SYERRA LANIE AVALOS
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 714-742-6953
Copy
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