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1346951498
MAYRA TERESA AVILA LOPEZ
BAKERSFIELD, CA
NPI
1346951498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA 13861)
Enumeration Date
2022-12-09
Last Update Date
2023-09-06
Business Address
MAYRA TERESA AVILA LOPEZ
1401 L ST
BAKERSFIELD, CA 93301-4522
Phone number: 661-868-6100
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Mailing Address
MAYRA TERESA AVILA LOPEZ
5284 ADOLFO RD STE 100
CAMARILLO, CA 93012-6790
Phone number: 805-289-0120
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