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1629434162
ANN MARIE LARA
POMONA, CA
NPI
1629434162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 061282)
Enumeration Date
2016-01-13
Last Update Date
2016-01-13
Business Address
-- ANN MARIE LARA
629 W 8TH ST
POMONA, CA 91766-3013
Phone number: 626-246-2578
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Mailing Address
-- ANN MARIE LARA
629 W 8TH ST
POMONA, CA 91766-3013
Phone number:
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