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1942648647
JAIME PHILIP VASQUEZ
VACAVILLE, CA
NPI
1942648647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-06-05
Last Update Date
2013-06-05
Business Address
MR. JAIME PHILIP VASQUEZ RRW
1742 MARSHALL RD
VACAVILLE, CA 95687-5017
Phone number: 707-301-1260
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Mailing Address
MR. JAIME PHILIP VASQUEZ RRW
1742 MARSHALL ROAD
VACAVILLE, CA 95687
Phone number: 707-301-1260
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