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1316325459
OMAR LIZARRAGA
PASADENA, CA
NPI
1316325459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-08
Last Update Date
2015-05-08
Business Address
-- OMAR LIZARRAGA
1450 N LAKE AVE FL 2
PASADENA, CA 91104-2301
Phone number: 626-564-4240
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Mailing Address
-- OMAR LIZARRAGA
9808 SAN MIGUEL AVE APT A
SOUTH GATE, CA 90280-4824
Phone number: 323-867-0809
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