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1992291504
MARIA LOPEZ GUISA
POMONA, CA
NPI
1992291504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-06
Last Update Date
2019-05-16
Business Address
MARIA LOPEZ GUISA
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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Mailing Address
MARIA LOPEZ GUISA
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-865-2336
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