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1770732224
JOSE VEGA
EL PASO, TX
NPI
1770732224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-09
Last Update Date
2008-09-09
Business Address
Mr. JOSE VEGA
5001 N PIEDRAS ST
EL PASO, TX 79930-4210
Phone number: 915-564-6159
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Mailing Address
Mr. JOSE VEGA
11743 TREY BURTON DR
EL PASO, TX 79936-7010
Phone number: 915-588-1962
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