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1386966646
CANDY A LOPEZ
FREMONT, CA
NPI
1386966646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-02-26
Last Update Date
2016-11-03
Business Address
-- CANDY A LOPEZ
40965 GRIMMER BLVD
FREMONT, CA 94538-2846
Phone number: 510-938-2226
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Mailing Address
-- CANDY A LOPEZ
1501 DECOTO ROAD #203
UNION CITY, CA 94587-3719
Phone number: 510-938-2226
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