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1477921542
JESUS BANUELOS
LOS ANGELES, CA
NPI
1477921542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-08
Last Update Date
2015-09-08
Business Address
-- JESUS BANUELOS
5849 CROCKER STREET
LOS ANGELES, CA 90003
Phone number: 323-234-4445
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Mailing Address
-- JESUS BANUELOS
5849 CROCKER STREET
LOS ANGELES, CA 90003
Phone number: 323-234-4445
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