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1407476930
ANTONIO EDWARD VASQUEZ
LOS ANGELES, CA
NPI
1407476930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-04-24
Last Update Date
2020-04-24
Business Address
ANTONIO EDWARD VASQUEZ
2307 W 6TH ST
LOS ANGELES, CA 90057-3119
Phone number: 760-877-5985
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Mailing Address
ANTONIO EDWARD VASQUEZ
2749 JED RD
ESCONDIDO, CA 92027-5105
Phone number:
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