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1205116092
JOSE RICARDO VARGAS GARCIA
CLACKAMAS, OR
NPI
1205116092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-08-24
Last Update Date
2012-10-24
Business Address
-- JOSE RICARDO VARGAS GARCIA MA
15630 SE 90TH AVE
CLACKAMAS, OR 97015-9729
Phone number: 503-657-9287
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Mailing Address
-- JOSE RICARDO VARGAS GARCIA MA
15630 SE 90TH AVE
CLACKAMAS, OR 97015-9729
Phone number: 503-657-9287
Copy
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