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1356094239
LORA REGINA HERNANDEZ
SAN PABLO, CA
NPI
1356094239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA 11585)
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
LORA REGINA HERNANDEZ
1901 CHURCH LN
SAN PABLO, CA 94806-3707
Phone number: 510-236-3134
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Mailing Address
LORA REGINA HERNANDEZ
1901 CHURCH LN
SAN PABLO, CA 94806-3707
Phone number: 510-236-3134
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