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1578042834
LONNIE ANTHONY AYALA
SACRAMENTO, CA
NPI
1578042834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1246510317)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
LONNIE ANTHONY AYALA
1731 P ST
SACRAMENTO, CA 95811-6104
Phone number: 916-706-2007
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Mailing Address
LONNIE ANTHONY AYALA
1731 P ST
SACRAMENTO, CA 95811-6104
Phone number: 916-706-2007
Copy
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