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1760938112
ANTONIO VARGAS
MODESTO, CA
NPI
1760938112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-08-26
Last Update Date
2016-08-26
Business Address
-- ANTONIO VARGAS
1235 MCHENRY AVE SUITE A&B
MODESTO, CA 95350-5370
Phone number: 209-527-4597
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Mailing Address
-- ANTONIO VARGAS
1235 MCHENRY AVE SUITE A&B
MODESTO, CA 95350-5370
Phone number: 209-527-4597
Copy
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