Jorge Vazquez
Jorge Vazquez is a Counselor in Bloomington, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
502 S Morris AveBloomington, IL 61701-4884
Phone: (309) 820-7616
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1720832694 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 16, 2024 |
| Last updated in NPPES | April 16, 2024 |
| Certification date | April 16, 2024 |
| Mailing address | 204 W Main St, Danvers, IL 61732-9267 |
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