GAVIN VIZCARRA

LOGANSPORT, IN
NPI1780851485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-05-12
Last Update Date2008-05-12
Business Address
-- GAVIN VIZCARRA BA
1120 SPEAR ST
LOGANSPORT, IN 46947-3502
Phone number: 574-732-0701
Mailing Address
-- GAVIN VIZCARRA BA
1015 MICHIGAN AVE
LOGANSPORT, IN 46947-1526
Phone number: 574-722-5151
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