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1629634290
ALEXANDRA LUCILA VARGAS
MANTECA, CA
NPI
1629634290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-19
Last Update Date
2023-06-20
Business Address
ALEXANDRA LUCILA VARGAS
955 W CENTER ST
MANTECA, CA 95337-7300
Phone number: 209-507-1054
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Mailing Address
ALEXANDRA LUCILA VARGAS
1945 GORDON VERNER CIR
STOCKTON, CA 95206-6121
Phone number: 209-507-1054
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