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1164136115
MANUEL JOHN VASQUEZ
FRESNO, CA
NPI
1164136115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 16232)
Enumeration Date
2023-01-12
Last Update Date
2023-01-24
Business Address
MANUEL JOHN VASQUEZ
1310 M ST
FRESNO, CA 93721-1808
Phone number: 559-264-2700
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Mailing Address
MANUEL JOHN VASQUEZ
4022 E BRENTWOOD AVE
FRESNO, CA 93703-3316
Phone number: 559-712-9158
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