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1467035220
GUADALUPE MICHELLE LOPEZ-PONCE
VANCOUVER, WA
NPI
1467035220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-04-29
Last Update Date
2021-04-29
Business Address
GUADALUPE MICHELLE LOPEZ-PONCE
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
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Mailing Address
GUADALUPE MICHELLE LOPEZ-PONCE
5912 NE 100TH CIR
VANCOUVER, WA 98686-6092
Phone number: 360-218-6317
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