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1912325879
GUS CAVAZOS
CORPUS CHRISTI, TX
NPI
1912325879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 20939)
Enumeration Date
2014-03-28
Last Update Date
2014-03-28
Business Address
Mr. GUS CAVAZOS
5633 S STAPLES ST 700
CORPUS CHRISTI, TX 78411-4646
Phone number: 361-814-2001
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Mailing Address
Mr. GUS CAVAZOS
1317 WINDCREST ST
KINGSVILLE, TX 78363-6976
Phone number:
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