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1821339599
LAWRENCE G FLORES
FRESNO, CA
NPI
1821339599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Breining F0510051332)
Enumeration Date
2013-03-06
Last Update Date
2013-03-06
Business Address
Mr. LAWRENCE G FLORES RAS
1803 BROADWAY ST
FRESNO, CA 93721-1047
Phone number: 559-268-6475
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Mailing Address
Mr. LAWRENCE G FLORES RAS
1803 BROADWAY ST
FRESNO, CA 93721-1047
Phone number: 559-268-6475
Copy
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