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Individual

MR. LARRY AVILA CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2121 CENTERPOINTE PKWY, SANTA MARIA, CA 93455-1331
(805) 739-8585
Mailing address
2121 CENTERPOINTE PKWY, SANTA MARIA, CA 93455-1331
(805) 739-8585

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
09/18/2007
Last updated
09/18/2007
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