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Individual

JOSHUA MANUEL VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7900 OLD WAKE FOREST RD, RALEIGH, NC 27616-3319
(919) 790-9689
Mailing address
5031 WALLINGFORD DR APT C, RALEIGH, NC 27616-5356
(919) 390-9976

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
39483
NC

Other

Enumeration date
02/04/2015
Last updated
02/04/2015
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