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1154922508
JOHNNY A AVILA
PASADENA, CA
NPI
1154922508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
JOHNNY A AVILA
2550 E FOOTHILL BLVD
PASADENA, CA 91107-3406
Phone number: 626-744-5242
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Mailing Address
JOHNNY A AVILA
2550 E FOOTHILL BLVD
PASADENA, CA 91107-3406
Phone number: 626-744-5242
Copy
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