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1518614338
JAIME BANUELOS
LOS ANGELES, CA
NPI
1518614338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
JAIME BANUELOS
3125 N BROADWAY
LOS ANGELES, CA 90031-2703
Phone number: 213-215-3017
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Mailing Address
JAIME BANUELOS
3125 N BROADWAY
LOS ANGELES, CA 90031-2703
Phone number: 213-215-3017
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