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1790866515
LOURDES THERESA ONTIVEROS
ORANGE, CA
NPI
1790866515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 5370)
Enumeration Date
2006-10-18
Last Update Date
2023-06-13
Business Address
Miss LOURDES THERESA ONTIVEROS
1095 N MAIN ST SUITE B
ORANGE, CA 92867-5476
Phone number: 714-633-0502
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Mailing Address
Miss LOURDES THERESA ONTIVEROS
1095 N MAIN ST SUITE B
ORANGE, CA 92867-5476
Phone number: 714-633-0502
Copy
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