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1669103099
JOSE AVILA
SAN BERNARDINO, CA
NPI
1669103099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
JOSE AVILA
1950 S SUNWEST LN STE 200
SAN BERNARDINO, CA 92408-3248
Phone number: 909-252-4063
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Mailing Address
JOSE AVILA
1950 S SUNWEST LN STE 200
SAN BERNARDINO, CA 92408-3248
Phone number: 909-252-4017
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