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1538607692
JULIE VANGVICHIT
MODESTO, CA
NPI
1538607692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-02-08
Last Update Date
2017-02-08
Business Address
-- JULIE VANGVICHIT
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-527-4599
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Mailing Address
-- JULIE VANGVICHIT
1840 ENCINA AVE
MODESTO, CA 95354-1502
Phone number: 408-585-8083
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