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1194063867
ALBERTO AVILES
GARDEN GROVE, CA
NPI
1194063867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-01-30
Last Update Date
2013-01-30
Business Address
-- ALBERTO AVILES
9842 13TH ST
GARDEN GROVE, CA 92844-3171
Phone number: 714-531-4624
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Mailing Address
-- ALBERTO AVILES
1905 COLLEGE AVE
SANTA ANA, CA 92706-2334
Phone number: 714-479-0120
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