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1023637139
PETER ERNEST CARRILLO
VAN NUYS, CA
NPI
1023637139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2020-04-09
Last Update Date
2020-09-02
Business Address
PETER ERNEST CARRILLO
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 323-854-3130
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Mailing Address
PETER ERNEST CARRILLO
15339 SATICOY ST
VAN NUYS, CA 91406
Phone number: 818-267-2600
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