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1063835171
JUANITA AVILES
LYNWOOD, CA
NPI
1063835171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-01-24
Last Update Date
2014-01-24
Business Address
-- JUANITA AVILES
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262-3625
Phone number: 310-605-0415
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Mailing Address
-- JUANITA AVILES
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262-3625
Phone number: 310-605-0415
Copy
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