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1790973584
VERDIA NIX
SAN PABLO, CA
NPI
1790973584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
VERDIA NIX
1515 MARKET AVE
SAN PABLO, CA 94806-4357
Phone number: 510-232-7571
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Mailing Address
VERDIA NIX
1515 MARKET AVE
SAN PABLO, CA 94806-4357
Phone number: 510-232-7571
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