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1033885694
VIOLETA CERVANTES VAZQUEZ
FAIRBANKS, AK
NPI
1033885694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-23
Last Update Date
2022-01-10
Business Address
VIOLETA CERVANTES VAZQUEZ
3100 S CUSHMAN ST
FAIRBANKS, AK 99701-7516
Phone number: 907-452-6251
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Mailing Address
VIOLETA CERVANTES VAZQUEZ
315 WENDELL AVE
FAIRBANKS, AK 99701-4837
Phone number: 907-452-6251
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