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1457599292
JONATHAN CHRISTOPHER AVILA
LONG BEACH, CA
NPI
1457599292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-02-02
Last Update Date
2009-02-02
Business Address
-- JONATHAN CHRISTOPHER AVILA
2501 LONG BEACH BLVD
LONG BEACH, CA 90806-3111
Phone number: 818-833-9789
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Mailing Address
-- JONATHAN CHRISTOPHER AVILA
2501 LONG BEACH BLVD
LONG BEACH, CA 90806-3111
Phone number: 818-833-9789
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