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1417537507
JORGE R AVILA MARTINEZ
VENTURA, CA
NPI
1417537507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1835P1200X Pharmacist, Pharmacotherapy
(Licence: CA 59531)
Enumeration Date
2021-04-12
Last Update Date
2021-04-12
Business Address
JORGE R AVILA MARTINEZ Rph
147 N BRENT ST
VENTURA, CA 93003-2854
Phone number: 805-652-5011
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Mailing Address
JORGE R AVILA MARTINEZ Rph
1777 ALTA VISTA PL
CAMARILLO, CA 93012-4077
Phone number: 818-203-3910
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