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1932601499
IGNACIO LOPEZ
RIVERSIDE, CA
NPI
1932601499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 168195)
Enumeration Date
2018-03-01
Last Update Date
2018-03-01
Business Address
IGNACIO LOPEZ
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2541
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Mailing Address
IGNACIO LOPEZ
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2541
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