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1134982150
MIKE VASQUEZ GONZALEZ
OAKLAND, CA
NPI
1134982150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-02-01
Last Update Date
2024-02-01
Business Address
MIKE VASQUEZ GONZALEZ
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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Mailing Address
MIKE VASQUEZ GONZALEZ
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
Copy
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