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1487481347
JESUS AVILES-CAMACHO
VENICE, CA
NPI
1487481347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
JESUS AVILES-CAMACHO
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
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Mailing Address
JESUS AVILES-CAMACHO
503 OCEAN FRONT WALK
VENICE, CA 90291-2403
Phone number: 310-392-3070
Copy
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