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1770728917
FAUSTINO VAZQUEZ
MILWAUKEE, WI
NPI
1770728917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15447131)
Enumeration Date
2008-12-02
Last Update Date
2008-12-02
Business Address
Mr. FAUSTINO VAZQUEZ SAC
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
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Mailing Address
Mr. FAUSTINO VAZQUEZ SAC
4800 S 10TH ST
MILWAUKEE, WI 53221-2412
Phone number: 414-744-5370
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