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1841718103
JUANITA MARISSA LOPEZ
VISALIA, CA
NPI
1841718103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-06
Last Update Date
2017-09-06
Business Address
JUANITA MARISSA LOPEZ
6200 S. MOONEY BLVD.
VISALIA, CA 93277
Phone number: 559-747-3984
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Mailing Address
JUANITA MARISSA LOPEZ
PO BOX 5091
VISALIA, CA 93292
Phone number: 559-747-3984
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