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1043977556
MANUEL AVILA
INDIO, CA
NPI
1043977556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X Community/Behavioral Health
Enumeration Date
2021-11-18
Last Update Date
2024-04-16
Business Address
MANUEL AVILA
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 760-863-3828
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Mailing Address
MANUEL AVILA
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 760-863-3828
Copy
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