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1932704483
EMMANUEL FLORES LOPEZ
GARDENA, CA
NPI
1932704483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-02
Last Update Date
2023-06-24
Business Address
EMMANUEL FLORES LOPEZ
15519 CRENSHAW BLVD
GARDENA, CA 90249-4597
Phone number: 310-679-9031
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Mailing Address
EMMANUEL FLORES LOPEZ
15519 CRENSHAW BLVD
GARDENA, CA 90249-4597
Phone number:
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