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1679775977
JOSE LUIS VERGARA
VALLEJO, CA
NPI
1679775977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-31
Last Update Date
2007-07-08
Business Address
-- JOSE LUIS VERGARA
2201 TUOLUMNE ST
VALLEJO, CA 94589-2524
Phone number: 707-558-1777
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Mailing Address
-- JOSE LUIS VERGARA
164 LODI CT
VALLEJO, CA 94589-3621
Phone number: 707-558-1777
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