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1235362088
MICKIE VANG
CLOVIS, CA
NPI
1235362088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-08-27
Last Update Date
2009-08-27
Business Address
-- MICKIE VANG
955 W EUCLID AVE
CLOVIS, CA 93612-4703
Phone number: 559-312-3850
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Mailing Address
-- MICKIE VANG
955 W EUCLID AVE
CLOVIS, CA 93612-4703
Phone number: 559-312-3850
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