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1780804831
ALBA DENISSE LOPEZ
SAN DIEGO, CA
NPI
1780804831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-30
Last Update Date
2007-07-08
Business Address
-- ALBA DENISSE LOPEZ
6693 CONVOY CT
SAN DIEGO, CA 92111-1008
Phone number: 858-505-0228
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Mailing Address
-- ALBA DENISSE LOPEZ
PO BOX 433215
SAN YSIDRO, CA 92143-3215
Phone number: 619-793-6751
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