JACK JOHNSON AVERY

DOWNEY, CA
NPI1730325986
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2008-12-17
Last Update Date2008-12-17
Business Address
MR. JACK JOHNSON AVERY
9150 IMPERIAL HWY RM P-31
DOWNEY, CA 90242-2835
Phone number: 562-940-3694
Mailing Address
MR. JACK JOHNSON AVERY
8526 GRAPE ST
LOS ANGELES, CA 90001-4134
Phone number: 323-583-6401
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