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1841411998
JOSE ANGEL AYALA
LOS ANGELES, CA
NPI
1841411998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Cert # 0614061914)
Enumeration Date
2007-05-02
Last Update Date
2008-05-12
Business Address
Mr. JOSE ANGEL AYALA
1137 W 6TH ST
LOS ANGELES, CA 90017-1828
Phone number: 121-325-0100
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Mailing Address
Mr. JOSE ANGEL AYALA
8546 CHIMINEAS AVE
NORTHRIDGE, CA 91325-3734
Phone number: 562-806-7587
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