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1396528287
MAIRA ELIZABETH LOPEZ
SALEM, OR
NPI
1396528287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-15
Last Update Date
2024-06-03
Business Address
MAIRA ELIZABETH LOPEZ
750 FRONT ST NE
SALEM, OR 97301-1089
Phone number: 503-363-2021
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Mailing Address
MAIRA ELIZABETH LOPEZ
1475 SW MYRTLE ST
DUNDEE, OR 97115-9735
Phone number: 971-264-4458
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