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1730308461
ALFONSO CARBAJAL
LOS ANGELES, CA
NPI
1730308461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- ALFONSO CARBAJAL
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-432-5185
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Mailing Address
-- ALFONSO CARBAJAL
13203 JUDD ST
PACOIMA, CA 91331-2423
Phone number: 818-899-3312
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