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1881724219
VIDAL ANTONIO
SAN FRANCISCO, CA
NPI
1881724219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Mr. VIDAL ANTONIO
474 VALENCIA ST STE 135
SAN FRANCISCO, CA 94103-3415
Phone number: 415-864-0554
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Mailing Address
Mr. VIDAL ANTONIO
3191 17TH ST # 1
SAN FRANCISCO, CA 94110-1332
Phone number: 415-577-8298
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