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1861694168
ANTHONY J LARA
VALLEJO, CA
NPI
1861694168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
-- ANTHONY J LARA
2201 TUOLUMNE ST
VALLEJO, CA 94589-2524
Phone number: 707-558-1777
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Mailing Address
-- ANTHONY J LARA
2117 NAPA ST
VALLEJO, CA 94590-3231
Phone number: 707-558-1777
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