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1013736958
GARETH VERTUDEZ CESAR
FAIRFIELD, CA
NPI
1013736958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
GARETH VERTUDEZ CESAR
623 GREAT JONES ST
FAIRFIELD, CA 94533-6005
Phone number: 707-664-7798
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Mailing Address
GARETH VERTUDEZ CESAR
623 GREAT JONES ST
FAIRFIELD, CA 94533-6005
Phone number: 707-664-7798
Copy
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