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1386897510
NICOLE DENISE LOPEZ
POMONA, CA
NPI
1386897510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT34290)
Enumeration Date
2008-10-31
Last Update Date
2008-10-31
Business Address
Miss NICOLE DENISE LOPEZ
790 E BONITA AVE
POMONA, CA 91767-1906
Phone number: 909-625-7207
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Mailing Address
Miss NICOLE DENISE LOPEZ
790 E BONITA AVE
POMONA, CA 91767-1906
Phone number: 909-625-7207
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