JOHN DANGCA VASQUEZ

GREAT LAKES, IL
NPI1245434513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-06-12
Last Update Date2012-09-19
Business Address
Mr. JOHN DANGCA VASQUEZ IDC
3001 6TH ST
GREAT LAKES, IL 60088
Phone number: 910-450-6397
Mailing Address
Mr. JOHN DANGCA VASQUEZ IDC
3904 SEDGE ST
ZION, IL 60099-9503
Phone number: 910-546-6907
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