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1740029685
DOMINIC E AVALOS
DOWNEY, CA
NPI
1740029685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
DOMINIC E AVALOS
7745 LEEDS ST
DOWNEY, CA 90242-3489
Phone number: 310-221-6336
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Mailing Address
DOMINIC E AVALOS
7745 LEEDS ST
DOWNEY, CA 90242-3489
Phone number: 310-221-6336
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