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1104548270
EDWIN GONZALES VILLANUEVA
LOS ANGELES, CA
NPI
1104548270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
EDWIN GONZALES VILLANUEVA
1968 W ADAMS BLVD # 101
LOS ANGELES, CA 90018-3515
Phone number: 323-731-3534
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Mailing Address
EDWIN GONZALES VILLANUEVA
1968 W ADAMS BLVD # 101
LOS ANGELES, CA 90018-3515
Phone number: 323-731-3534
Copy
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