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1720766686
ASHLEY GAZELLE LOPEZ
VICTORVILLE, CA
NPI
1720766686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1510820623)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
ASHLEY GAZELLE LOPEZ RADT
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
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Mailing Address
ASHLEY GAZELLE LOPEZ RADT
16248 VICTOR ST
VICTORVILLE, CA 92395-3934
Phone number: 760-243-7151
Copy
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