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1124659057
ANTHONY AVALOS
RIVERSIDE, CA
NPI
1124659057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-01-29
Last Update Date
2020-03-20
Business Address
ANTHONY AVALOS
555 TECHNOLOGY CT STE 105
RIVERSIDE, CA 92507-2155
Phone number: 951-285-2650
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Mailing Address
ANTHONY AVALOS
4545 MEREDITH ST
RIVERSIDE, CA 92505-1536
Phone number: 951-415-3263
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