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1366005696
ARMANDO CAVAZOS
SAINT PAUL, MN
NPI
1366005696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
ARMANDO CAVAZOS
84 WABASHA ST S APT 330
SAINT PAUL, MN 55107-1856
Phone number: 612-205-2086
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Mailing Address
ARMANDO CAVAZOS
84 WABASHA ST S APT 330
SAINT PAUL, MN 55107-1856
Phone number: 612-205-2086
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