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1275213332
MARIO H VEGA
VICTORVILLE, CA
NPI
1275213332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95026072)
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
MARIO H VEGA PMHNP
17310 BEAR VALLEY RD # V101
VICTORVILLE, CA 92395-7773
Phone number: 679-876-0660
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Mailing Address
MARIO H VEGA PMHNP
10265 COTONEASTER ST
APPLE VALLEY, CA 92308-3324
Phone number: 760-912-4659
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