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1518577907
GREGORY GERARD LOPEZ
REDDING, CA
NPI
1518577907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10979)
Enumeration Date
2020-07-31
Last Update Date
2024-10-13
Business Address
GREGORY GERARD LOPEZ
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
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Mailing Address
GREGORY GERARD LOPEZ
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
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