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1639796394
CARMELO ISRAEL LOPEZ
CAMARILLO, CA
NPI
1639796394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
CARMELO ISRAEL LOPEZ
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
CARMELO ISRAEL LOPEZ
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
Copy
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