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1518665173
WILMER RAFAEL AYALA
HUNTINGTON PARK, CA
NPI
1518665173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2023-02-22
Last Update Date
2023-06-09
Business Address
WILMER RAFAEL AYALA
2629 CLARENDON AVE FL 2
HUNTINGTON PARK, CA 90255-4119
Phone number: 323-584-3726
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Mailing Address
WILMER RAFAEL AYALA
2629 CLARENDON AVE FL 2
HUNTINGTON PARK, CA 90255-4119
Phone number: 323-584-3726
Copy
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