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1366218299
LYSA NELSON
RIVERSIDE, CA
NPI
1366218299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-12-01
Last Update Date
2023-12-01
Business Address
LYSA NELSON
10001 COUNTY FARM RD
RIVERSIDE, CA 92503-3507
Phone number: 909-421-7120
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Mailing Address
LYSA NELSON
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2639
Phone number:
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