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1538996004
EDGAR AVILEZ LARA
TORRANCE, CA
NPI
1538996004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-09-18
Last Update Date
2024-09-30
Business Address
EDGAR AVILEZ LARA
22728 HARVARD BLVD APT 30
TORRANCE, CA 90501-4932
Phone number: 310-869-9821
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Mailing Address
EDGAR AVILEZ LARA
22728 HARVARD BLVD APT 30
TORRANCE, CA 90501-4932
Phone number: 310-869-9821
Copy
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