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1942936026
MAURICE MITCHELL VINES
ORANGE, CA
NPI
1942936026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CA 108673)
Enumeration Date
2022-07-29
Last Update Date
2022-07-29
Business Address
MAURICE MITCHELL VINES
401 S TUSTIN ST BLDG D
ORANGE, CA 92866-2550
Phone number: 714-289-3936
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Mailing Address
MAURICE MITCHELL VINES
401 S TUSTIN ST BLDG D
ORANGE, CA 92866-2550
Phone number: 714-289-3936
Copy
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