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1205504636
DIANA MARTINEZ AVILA
VENTURA, CA
NPI
1205504636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-08-31
Last Update Date
2023-11-03
Business Address
DIANA MARTINEZ AVILA
5740 RALSTON ST STE 201
VENTURA, CA 93003-6571
Phone number: 661-674-9192
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Mailing Address
DIANA MARTINEZ AVILA
1234 W AVENUE J8
LANCASTER, CA 93534-4719
Phone number: 661-674-9192
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