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1508602392
MAYA VASQUEZ GANTT
LOS ANGELES, CA
NPI
1508602392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
MAYA VASQUEZ GANTT
1135 S ALVARADO ST
LOS ANGELES, CA 90006-4100
Phone number: 213-381-8534
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Mailing Address
MAYA VASQUEZ GANTT
1135 S ALVARADO ST
LOS ANGELES, CA 90006-4100
Phone number: 213-381-8534
Copy
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