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1760047039
CARLOS VIGIL
MADERA, CA
NPI
1760047039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
CARLOS VIGIL
10535 ROAD 35
MADERA, CA 93636-8487
Phone number: 559-367-5647
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Mailing Address
CARLOS VIGIL
10535 ROAD 35
MADERA, CA 93636-8487
Phone number: 559-367-5647
Copy
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