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1467739474
RONNY FREDERICK LOPEZ
HONOLULU, HI
NPI
1467739474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: HI 1492-09)
Enumeration Date
2011-11-04
Last Update Date
2011-11-04
Business Address
Mr. RONNY FREDERICK LOPEZ CSAC, ICADC
1017C PAWAA LN
HONOLULU, HI 96826-2185
Phone number: 808-941-5869
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Mailing Address
Mr. RONNY FREDERICK LOPEZ CSAC, ICADC
1017C PAWAA LN
HONOLULU, HI 96826-2185
Phone number: 808-941-5869
Copy
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