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1801011572
HAIDE R LOPEZ
COLTON, CA
NPI
1801011572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Ms. HAIDE R LOPEZ BA
2275 E COOLEY DR
COLTON, CA 92324-6324
Phone number: 909-370-1777
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Mailing Address
Ms. HAIDE R LOPEZ BA
2275 E COOLEY DR
COLTON, CA 92324-6324
Phone number: 909-370-1777
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