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1134644511
EDGAR CAMACHO
RIVERSIDE, CA
NPI
1134644511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: CA 114430)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-07
Last Update Date
2023-08-10
Business Address
EDGAR CAMACHO
10000 COUNTY FARM RD
RIVERSIDE, CA 92503-3508
Phone number: 909-573-7537
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Mailing Address
EDGAR CAMACHO
3933 HARRISON ST
RIVERSIDE, CA 92503-3523
Phone number: 909-573-7537
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