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1649565656
LARA COLLEEN BUCKLEY
CAMARILLO, CA
NPI
1649565656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-06-17
Last Update Date
2011-06-17
Business Address
-- LARA COLLEEN BUCKLEY
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
-- LARA COLLEEN BUCKLEY
3191 KELP LN # 84
OXNARD, CA 93035-1678
Phone number: 805-383-3669
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