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1881372845
JIMI VILLA
SANTA ANA, CA
NPI
1881372845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1509010523)
Enumeration Date
2023-07-10
Last Update Date
2023-08-16
Business Address
Mr. JIMI VILLA RADT I
1207 E FRUIT ST
SANTA ANA, CA 92701-4296
Phone number: 714-953-9373
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Mailing Address
Mr. JIMI VILLA RADT I
2542 E 218TH PL
CARSON, CA 90810-1703
Phone number: 310-924-8226
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