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1356804165
JOEY Q RUVALCABA
LAKE VIEW TERRACE, CA
NPI
1356804165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1220251215)
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
JOEY Q RUVALCABA RADT (CCAPP)
11600 ELDRIDGE AVE
LAKE VIEW TERRACE, CA 91342-6506
Phone number: 818-686-3000
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Mailing Address
JOEY Q RUVALCABA RADT (CCAPP)
133 PARK AVE APT 108
SAN FERNANDO, CA 91340-3086
Phone number: 818-744-6535
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