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1437764362
KELLY JAVONILLO
LONG BEACH, CA
NPI
1437764362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-08
Last Update Date
2020-09-08
Business Address
KELLY JAVONILLO
1360 E ANAHEIM ST
LONG BEACH, CA 90813-5514
Phone number: 562-218-9530
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Mailing Address
KELLY JAVONILLO
1360 E ANAHEIM ST
LONG BEACH, CA 90813-5514
Phone number:
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