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1366203564
PRISCILLA JEANETH VASQUEZ
POMONA, CA
NPI
1366203564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
PRISCILLA JEANETH VASQUEZ CCAPP
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-554-9457
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Mailing Address
PRISCILLA JEANETH VASQUEZ CCAPP
2180 VALLEY BLVD
POMONA, CA 91768-3325
Phone number: 909-554-9457
Copy
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