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1699081968
MARCO ANTONIO LOPEZ
ONTARIO, CA
NPI
1699081968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW85389)
Enumeration Date
2010-08-25
Last Update Date
2021-07-13
Business Address
MARCO ANTONIO LOPEZ
2940 INLAND EMPIRE BLVD
ONTARIO, CA 91764
Phone number: 909-458-1350
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Mailing Address
MARCO ANTONIO LOPEZ
541 N SAN JACINTO ST
HEMET, CA 92543-3107
Phone number: 951-791-3687
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