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1265967939
IVAN VAZQUEZ
BASEHOR, KS
NPI
1265967939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-05-01
Last Update Date
2017-05-01
Business Address
-- IVAN VAZQUEZ
1106 N 155TH ST STE B
BASEHOR, KS 66007-7100
Phone number: 913-662-7071
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Mailing Address
-- IVAN VAZQUEZ
1106 N 155TH ST STE B
BASEHOR, KS 66007-7100
Phone number:
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