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1912391657
YVAN VILLA
EL MONTE, CA
NPI
1912391657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-03-19
Last Update Date
2018-03-17
Business Address
YVAN VILLA
3131 SANTA ANITA AVE STE 112
EL MONTE, CA 91733-1369
Phone number: 626-636-2370
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Mailing Address
YVAN VILLA
3131 SANTA ANITA AVE STE 112
EL MONTE, CA 91733-1369
Phone number: 626-636-2370
Copy
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