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1558562660
EBONIE MICHELE VAZQUEZ
CULVER CITY, CA
NPI
1558562660
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Former Name
EBONIE MICHELE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A104737)
Enumeration Date
2007-05-29
Last Update Date
2021-12-14
Business Address
Dr. EBONIE MICHELE VAZQUEZ M.D.
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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Mailing Address
Dr. EBONIE MICHELE VAZQUEZ M.D.
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
Copy
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