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1356003180
LARA LISA DUENAS
LOS ANGELES, CA
NPI
1356003180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-08
Last Update Date
2021-10-08
Business Address
LARA LISA DUENAS
453 S INDIANA ST
LOS ANGELES, CA 90063-3908
Phone number: 323-266-7725
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Mailing Address
LARA LISA DUENAS
3401 S SENTOUS AVE APT 205
WEST COVINA, CA 91792-2730
Phone number: 626-644-9635
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