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1730450180
MICHELLE VAZQUEZ
FAIRFIELD, CA
NPI
1730450180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
-- MICHELLE VAZQUEZ
1735 ENTERPRISE DR
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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Mailing Address
-- MICHELLE VAZQUEZ
1735 ENTERPRISE DR
FAIRFIELD, CA 94533-6822
Phone number: 707-425-1799
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