BEGIN:VCARD VERSION:3.0 FN:Acxell Ramirez N:Ramirez;Acxell;;; TITLE:Addiction Counselor TEL;TYPE=WORK,VOICE:+14423709644 URL:https://www.gale.care/providers/ca/calipatria/acxell-ramirez-1013848522 NOTE:NPI 1013848522. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1013848522 END:VCARD