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Individual

ILSE MARIANA GAVINO VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2005 MAIN ST STE C, OAKLEY, CA 94561-3301
(925) 776-8223
Mailing address
4260 CLAYTON RD APT 13, CONCORD, CA 94521-2715
(925) 726-7897

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/15/2021
Last updated
06/15/2021
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