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1962988311
MARISSA KATRINA VASQUEZ
POMONA, CA
NPI
1962988311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-18
Last Update Date
2018-07-18
Business Address
MARISSA KATRINA VASQUEZ
1812 FLEMING ST
POMONA, CA 91766-1027
Phone number: 909-313-8932
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Mailing Address
MARISSA KATRINA VASQUEZ
1812 FLEMING ST
POMONA, CA 91766-1027
Phone number: 909-313-8932
Copy
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