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1194058594
ANTONIA FERNANDEZ
VACAVILLE, CA
NPI
1194058594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-09-16
Last Update Date
2017-06-08
Business Address
-- ANTONIA FERNANDEZ
1286 CALLEN ST
VACAVILLE, CA 95688-3002
Phone number: 707-447-8982
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Mailing Address
-- ANTONIA FERNANDEZ
2931 PROSPECT AVE
CONCORD, CA 94518-3002
Phone number: 925-676-4840
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