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1265999304
JORGE VACA
PANORAMA CITY, CA
NPI
1265999304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-02-25
Last Update Date
2019-02-25
Business Address
JORGE VACA
9140 VAN NUYS BLVD
PANORAMA CITY, CA 91402-6727
Phone number: 818-895-2006
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Mailing Address
JORGE VACA
9140 VAN NUYS BLVD
PANORAMA CITY, CA 91402-6727
Phone number: 818-895-2206
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