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1871961391
ANTHONY LOPEZ
OAKLAND, CA
NPI
1871961391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-15
Last Update Date
2015-09-15
Business Address
-- ANTHONY LOPEZ
9442 INTERNATIONAL BLVD
OAKLAND, CA 94603-1444
Phone number: 510-777-8448
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Mailing Address
-- ANTHONY LOPEZ
36639 SYCAMORE ST
NEWARK, CA 94560-2957
Phone number:
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