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1700130820
MANUEL LOPEZ
LOS ANGELES, CA
NPI
1700130820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-29
Last Update Date
2012-10-29
Business Address
-- MANUEL LOPEZ
11905 S CENTRAL AVE SUITE 200,204,205,206
LOS ANGELES, CA 90059-2897
Phone number: 323-249-9026
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Mailing Address
-- MANUEL LOPEZ
11905 S CENTRAL AVE SUITE 200,204,205,206
LOS ANGELES, CA 90059-2897
Phone number: 323-249-9026
Copy
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