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1972047645
JUDITH ANALLELY BONILLA LOPEZ
FONTANA, CA
NPI
1972047645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 63986)
Enumeration Date
2016-12-14
Last Update Date
2016-12-27
Business Address
-- JUDITH ANALLELY BONILLA LOPEZ
17216 SLOVER AVE
FONTANA, CA 92337-7580
Phone number: 909-854-3431
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Mailing Address
-- JUDITH ANALLELY BONILLA LOPEZ
17216 SLOVER AVE
FONTANA, CA 92337-7580
Phone number: 909-854-3431
Copy
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