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1205578580
RAYMOND LIONEL JASO
LOS ANGELES, CA
NPI
1205578580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-08
Last Update Date
2022-04-12
Business Address
RAYMOND LIONEL JASO CCAP
360 S WESTLAKE AVE
LOS ANGELES, CA 90057-2906
Phone number: 213-483-9201
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Mailing Address
RAYMOND LIONEL JASO CCAP
10140 BROCKWAY ST
EL MONTE, CA 91733-1110
Phone number: 213-483-9202
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