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1831921535
WILMER DAVALILLO
LOS ANGELES, CA
NPI
1831921535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
WILMER DAVALILLO
307 S CENTRAL AVE
LOS ANGELES, CA 90013-1709
Phone number: 213-626-6411
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Mailing Address
WILMER DAVALILLO
12070 TELEGRAPH RD
SANTA FE SPRINGS, CA 90670-3771
Phone number: 562-777-7500
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