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1609213990
LUIS VILLAVICENCIO
LOS ANGELES, CA
NPI
1609213990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-05-28
Last Update Date
2019-02-11
Business Address
LUIS VILLAVICENCIO B.A.
1325 N WESTERN AVE
LOS ANGELES, CA 90027
Phone number: 323-461-3131
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Mailing Address
LUIS VILLAVICENCIO B.A.
1325 N WESTERN AVE
LOS ANGELES, CA 90027-5615
Phone number: 323-461-3131
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