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1235836545
LISSET VEGA
FOWLER, CA
NPI
1235836545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 14743)
Enumeration Date
2023-02-08
Last Update Date
2023-02-08
Business Address
LISSET VEGA
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
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Mailing Address
LISSET VEGA
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-776-8639
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