MIZRAIN VAZQUEZ

GRANTS PASS, OR
NPI1194187625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  13-12-43)
Enumeration Date2016-03-23
Last Update Date2016-03-23
Business Address
-- MIZRAIN VAZQUEZ CADC I
510 NW 4TH ST
GRANTS PASS, OR 97526-2078
Phone number: 541-474-5196
Mailing Address
-- MIZRAIN VAZQUEZ CADC I
510 NW 4TH ST
GRANTS PASS, OR 97526-2078
Phone number: 541-474-5196
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