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1477387769
MARIA GUADALUPE LAVIGNE
SAN BERNARDINO, CA
NPI
1477387769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1575540824)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
MARIA GUADALUPE LAVIGNE RAD-T
349 W 11TH ST
SAN BERNARDINO, CA 92410-3513
Phone number: 909-506-1247
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Mailing Address
MARIA GUADALUPE LAVIGNE RAD-T
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
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