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1720695802
JENNIFER C LOPEZ
OAKLAND, CA
NPI
1720695802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-09-23
Last Update Date
2021-04-26
Business Address
JENNIFER C LOPEZ
7200 BANCROFT AVE STE 133
OAKLAND, CA 94605-2480
Phone number: 510-553-8500
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Mailing Address
JENNIFER C LOPEZ
22653 LINDEN ST
HAYWARD, CA 94541-3121
Phone number:
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