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1912046566
JUAN M VASQUEZ
TUCSON, AZ
NPI
1912046566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: AZ 2433)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
Mr. JUAN M VASQUEZ none
9264 S. WILT BANK ROAD
TUCSON, AZ 85735
Phone number: 520-440-0630
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Mailing Address
Mr. JUAN M VASQUEZ none
9264 S. WILT BANK RD.
TUCSON, AZ 85735
Phone number: 520-440-0630
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