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1912547902
GENESIS LARES
LONG BEACH, CA
NPI
1912547902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2020-01-08
Last Update Date
2020-01-08
Business Address
GENESIS LARES
1501 HUGHES WAY STE 150
LONG BEACH, CA 90810-1878
Phone number: 310-221-6336
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Mailing Address
GENESIS LARES
1501 HUGHES WAY STE 150
LONG BEACH, CA 90810-1878
Phone number: 310-221-6336
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