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1336837434
JENNIFER LOPEZ
RIVERSIDE, CA
NPI
1336837434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: 138660)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
JENNIFER LOPEZ
4590 ALLSTATE DR
RIVERSIDE, CA 92501-1702
Phone number: 909-599-1227
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Mailing Address
JENNIFER LOPEZ
4590 ALLSTATE DR
RIVERSIDE, CA 92501-1702
Phone number:
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