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1174009526
MICHAEL AVIADO
WEST COVINA, CA
NPI
1174009526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-18
Last Update Date
2018-07-18
Business Address
MICHAEL AVIADO
3040 E CECELIA ST
WEST COVINA, CA 91792-2005
Phone number: 626-420-2561
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Mailing Address
MICHAEL AVIADO
3040 E CECELIA ST
WEST COVINA, CA 91792-2005
Phone number: 626-420-2561
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