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1720394331
ANTHONY EDWARD AVELAR
LOS ANGELES, CA
NPI
1720394331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 28366)
Enumeration Date
2010-08-20
Last Update Date
2021-12-03
Business Address
ANTHONY EDWARD AVELAR
8019 COMPTON AVE
LOS ANGELES, CA 90001-3409
Phone number: 323-586-7333
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Mailing Address
ANTHONY EDWARD AVELAR
393 E WALNUT ST FL 3 PHR GROUP PROVIDER ENROLLMENT UNIT
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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