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1104258243
RUBEN JUAN AVILA
STOCKTON, CA
NPI
1104258243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-07-31
Last Update Date
2013-07-31
Business Address
-- RUBEN JUAN AVILA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
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Mailing Address
-- RUBEN JUAN AVILA
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-468-8686
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