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1427350099
ROSALVO MISAEL AVILA
LANCASTER, CA
NPI
1427350099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2010-12-02
Last Update Date
2010-12-02
Business Address
Mr. ROSALVO MISAEL AVILA
506 W JACKMAN ST
LANCASTER, CA 93534-2531
Phone number: 661-726-2850
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Mailing Address
Mr. ROSALVO MISAEL AVILA
6815 PRINCESSA DR
PALMDALE, CA 93551-1642
Phone number: 661-339-0540
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