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1740940238
JUAN LARA
DOWNEY, CA
NPI
1740940238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-12-23
Last Update Date
2021-12-23
Business Address
JUAN LARA
11501 DOLAN AVE
DOWNEY, CA 90241-4921
Phone number: 562-923-7894
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Mailing Address
JUAN LARA
11501 DOLAN AVE
DOWNEY, CA 90241-4921
Phone number: 562-923-7894
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