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1558773036
JORGE LUIS AVILA
SANTA FE SPRINGS, CA
NPI
1558773036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-06-02
Last Update Date
2014-06-02
Business Address
-- JORGE LUIS AVILA
11721 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3674
Phone number: 562-949-8455
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Mailing Address
-- JORGE LUIS AVILA
11721 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3674
Phone number: 562-949-8455
Copy
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