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1376202093
NAYELY LISETTE LOPEZ
TRABUCO CANYON, CA
NPI
1376202093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1463750322)
Enumeration Date
2021-12-09
Last Update Date
2022-08-11
Business Address
NAYELY LISETTE LOPEZ
20342 FLANAGAN ROAD
TRABUCO CANYON, CA 92805
Phone number: 818-582-8832
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Mailing Address
NAYELY LISETTE LOPEZ
1801 E SANTA ANA ST
ANAHEIM, CA 92805-4309
Phone number: 714-883-9012
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