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1497809347
MARIA LARA WYATT
EL CENTRO, CA
NPI
1497809347
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Former Name
MARIA ISABEL LARA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Mrs. MARIA LARA WYATT
1295 W STATE ST STE 102
EL CENTRO, CA 92243-2881
Phone number: 760-353-0763
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Mailing Address
Mrs. MARIA LARA WYATT
667 LEE RD
IMPERIAL, CA 92251-9503
Phone number: 760-355-0044
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