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1053644732
JAZMIN E DAVALOS
DOWNEY, CA
NPI
1053644732
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA E1412281)
Enumeration Date
2009-09-11
Last Update Date
2009-09-11
Business Address
-- JAZMIN E DAVALOS
8700 CLETA ST
DOWNEY, CA 90241-5203
Phone number: 562-862-9766
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Mailing Address
-- JAZMIN E DAVALOS
8700 CLETA ST
DOWNEY, CA 90241-5203
Phone number: 562-862-9766
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