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1609585355
JESSICA KYOMI AVILA
LONG BEACH, CA
NPI
1609585355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2022-11-22
Last Update Date
2022-11-22
Business Address
JESSICA KYOMI AVILA
VA LONG BEACH HCS ATTN: JESSICA AVILA GEC/CLC MAILSTOP:08/118 5901 EAST 7TH STREET
LONG BEACH, CA 90803
Phone number: 562-706-9228
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Mailing Address
JESSICA KYOMI AVILA
14084 RANCHO RD
WESTMINSTER, CA 92683-4154
Phone number: 714-514-3551
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