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1033460548
JAIRO CHAMORRO
COLTON, CA
NPI
1033460548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-24
Last Update Date
2012-09-24
Business Address
Mr. JAIRO CHAMORRO
790 VIA LATA 250
COLTON, CA 92324-3978
Phone number: 909-872-0223
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Mailing Address
Mr. JAIRO CHAMORRO
4660 VIEWRIDGE AVE
SAN DIEGO, CA 92123-1638
Phone number:
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