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1164955530
MARQUITA KING
VALLEJO, CA
NPI
1164955530
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
-- MARQUITA KING
1628 BROADWAY ST B
VALLEJO, CA 94590-2405
Phone number: 707-649-8300
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Mailing Address
-- MARQUITA KING
1628 BROADWAY ST
VALLEJO, CA 94590-2405
Phone number: 707-649-8300
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