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1083432645
ANJANETTE MARIE VACA
CULVER CITY, CA
NPI
1083432645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
ANJANETTE MARIE VACA
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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Mailing Address
ANJANETTE MARIE VACA
15455 DORIAN ST
SYLMAR, CA 91342-1216
Phone number: 747-322-6788
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