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1215147640
STEPHANIE LYNN VIZCAINO
SAN LEANDRO, CA
NPI
1215147640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Ms. STEPHANIE LYNN VIZCAINO
1417 THRUSH AVE
SAN LEANDRO, CA 94578-2063
Phone number: 510-317-4791
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Mailing Address
Ms. STEPHANIE LYNN VIZCAINO
1417 THRUSH AVE
SAN LEANDRO, CA 94578-2063
Phone number: 510-317-4791
Copy
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