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1922514215
AMANDA R VASQUEZ
LOS ANGELES, CA
NPI
1922514215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-21
Last Update Date
2017-12-21
Business Address
AMANDA R VASQUEZ
453 S INDIANA ST
LOS ANGELES, CA 90063-3908
Phone number: 323-266-7726
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Mailing Address
AMANDA R VASQUEZ
453 S INDIANA ST
LOS ANGELES, CA 90063-3908
Phone number: 323-266-7726
Copy
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