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1528540879
JESUS ANTONIO CHAVEZ
LOS ANGELES, CA
NPI
1528540879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
JESUS ANTONIO CHAVEZ
1701 ZONAL AVE
LOS ANGELES, CA 90033-1065
Phone number: 323-223-6298
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Mailing Address
JESUS ANTONIO CHAVEZ
1701 ZONAL AVE
LOS ANGELES, CA 90033-1065
Phone number: 323-223-6298
Copy
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