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1902065576
LORI J VASQUEZ
LONG BEACH, CA
NPI
1902065576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-06-08
Last Update Date
2008-06-08
Business Address
-- LORI J VASQUEZ
3505 LONG BEACH BLVD STE 1F
LONG BEACH, CA 90807-3946
Phone number: 562-988-3436
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Mailing Address
-- LORI J VASQUEZ
738 MAIN ST UNIT 302
EL SEGUNDO, CA 90245-3045
Phone number: 562-988-3436
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