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1679846422
EDGAR VARGAS
CORONA, NY
NPI
1679846422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 18547)
Enumeration Date
2012-02-09
Last Update Date
2012-02-09
Business Address
Mr. EDGAR VARGAS
10720 NORTHERN BLVD
CORONA, NY 11368-1236
Phone number: 718-651-0096
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Mailing Address
Mr. EDGAR VARGAS
10720 NORTHERN BLVD
CORONA, NY 11368-1236
Phone number: 718-651-0096
Copy
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