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1982071155
RAUL LOPEZ
CORONA, CA
NPI
1982071155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- RAUL LOPEZ
623 N MAIN ST
CORONA, CA 92880-1407
Phone number: 951-737-2962
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Mailing Address
-- RAUL LOPEZ
623 N MAIN ST
CORONA, CA 92880-1407
Phone number: 951-737-2962
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