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1841625779
JUAN JESUS BONILLA
SANTA ANA, CA
NPI
1841625779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA ASW35563)
Enumeration Date
2013-09-11
Last Update Date
2013-09-11
Business Address
-- JUAN JESUS BONILLA MSW
405 W. 5TH ST 590
SANTA ANA, CA 92701-0000
Phone number: 714-834-0515
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Mailing Address
-- JUAN JESUS BONILLA MSW
13962 GARDENIA CT
EASTVALE, CA 92880-0000
Phone number: 714-328-6266
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