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1861092876
JUAN ANTONIO VASQUEZ
BAKERSFIELD, CA
NPI
1861092876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1329771118)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
JUAN ANTONIO VASQUEZ
2901 S H ST
BAKERSFIELD, CA 93304-5602
Phone number: 661-398-4303
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Mailing Address
JUAN ANTONIO VASQUEZ
2901 S H ST
BAKERSFIELD, CA 93304-5602
Phone number: 661-398-4303
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