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1235493032
RICARDO AVILA
PANORAMA CITY, CA
NPI
1235493032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12364)
Enumeration Date
2012-06-27
Last Update Date
2012-06-27
Business Address
-- RICARDO AVILA
13858 1/2 CHASE ST
PANORAMA CITY, CA 91402-3302
Phone number: 818-810-5848
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Mailing Address
-- RICARDO AVILA
13858 1/2 CHASE ST
PANORAMA CITY, CA 91402-3302
Phone number: 818-810-5848
Copy
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