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1316206600
JERRY LOPEZ
VISALIA, CA
NPI
1316206600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 35142)
Enumeration Date
2012-05-08
Last Update Date
2013-01-07
Business Address
-- JERRY LOPEZ ASW
201 N COURT ST
VISALIA, CA 93291-4918
Phone number: 559-627-2046
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Mailing Address
-- JERRY LOPEZ ASW
201 N COURT ST
VISALIA, CA 93291-4918
Phone number: 559-627-2046
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