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1285973222
ANTONIO AYALA
WHITTIER, CA
NPI
1285973222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: CA 23-7228780)
Enumeration Date
2013-02-12
Last Update Date
2013-02-12
Business Address
ANTONIO AYALA
12322 CLEARGLEN AVE
WHITTIER, CA 90604-3872
Phone number: 562-242-1077
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Mailing Address
ANTONIO AYALA
12322 CLEARGLEN AVE
WHITTIER, CA 90604-3872
Phone number: 562-242-1077
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