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1376081265
BERENICE ITALY LOPEZ
BAKERSFIELD, CA
NPI
1376081265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1246170317)
Enumeration Date
2017-02-10
Last Update Date
2017-03-26
Business Address
-- BERENICE ITALY LOPEZ
1018 21ST ST
BAKERSFIELD, CA 93301-4709
Phone number: 661-861-9967
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Mailing Address
-- BERENICE ITALY LOPEZ
1018 21ST ST
BAKERSFIELD, CA 93301-4709
Phone number: 661-861-9967
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