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1992842470
SAMUEL D. LOPEZ
INDIO, CA
NPI
1992842470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-31
Last Update Date
2007-08-08
Business Address
Mr. SAMUEL D. LOPEZ Substance Abuse Coun
83912 AVENUE 45 SUITE 9
INDIO, CA 92201-3338
Phone number: 760-347-0754
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Mailing Address
Mr. SAMUEL D. LOPEZ Substance Abuse Coun
83912 AVENUE 45 STE 9
INDIO, CA 92201-3338
Phone number: 760-347-0754
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