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Individual
MR. WILLIAM FREDERICK VAZQUEZ II
Active
Individual
MR. WILLIAM FREDERICK VAZQUEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
C3680480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2240-ID04-01-02
EVANGEL MINISTERIAL ASSOCIATION INC. / MINISTERIAL ORDINATION
ID
Enumeration date
12/15/2006
Last updated
07/20/2009
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