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1073295903
GRACIELA AVILA
LOS ANGELES, CA
NPI
1073295903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-08-01
Last Update Date
2023-08-01
Business Address
GRACIELA AVILA
942 S ATLANTIC BLVD
LOS ANGELES, CA 90022-4004
Phone number: 323-263-9700
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Mailing Address
GRACIELA AVILA
942 S ATLANTIC BLVD
LOS ANGELES, CA 90022-4004
Phone number: 323-263-9700
Copy
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