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1548719909
RAFAEL LOPEZ
LOS ANGELES, CA
NPI
1548719909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-27
Last Update Date
2016-09-27
Business Address
-- RAFAEL LOPEZ
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number: 323-234-4445
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Mailing Address
-- RAFAEL LOPEZ
5849 CROCKER ST
LOS ANGELES, CA 90003-1311
Phone number: 323-234-4445
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