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1023459708
JUANA VAQUERO
SAN DIEGO, CA
NPI
1023459708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 28364)
Enumeration Date
2013-07-10
Last Update Date
2019-06-10
Business Address
JUANA VAQUERO
3020 CHILDRENS WAY # MC5023
SAN DIEGO, CA 92123-4223
Phone number: 858-966-7815
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Mailing Address
JUANA VAQUERO
425 N DATE ST
ESCONDIDO, CA 92025-3413
Phone number: 760-205-8340
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