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1881859296
EARL LEE VARGAS
SAN LEANDRO, CA
NPI
1881859296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-07-24
Last Update Date
2008-07-24
Business Address
-- EARL LEE VARGAS
1403 164TH AVE
SAN LEANDRO, CA 94578-3123
Phone number: 510-481-8645
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Mailing Address
-- EARL LEE VARGAS
4522 SARGENT AVE
CASTRO VALLEY, CA 94546-3650
Phone number:
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