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1578907523
VICTOR LOPEZ
CHICO, CA
NPI
1578907523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-04-22
Last Update Date
2013-04-22
Business Address
-- VICTOR LOPEZ
15 DECLARATION DR
CHICO, CA 95973-4902
Phone number: 530-893-4784
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Mailing Address
-- VICTOR LOPEZ
68 TARA TER APT 2
CHICO, CA 95973-0894
Phone number: 530-898-9806
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