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1164293254
EDGAR CAMARILLO ORTIZ
SACRAMENTO, CA
NPI
1164293254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1540730124)
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
EDGAR CAMARILLO ORTIZ RADT1
500 22ND ST
SACRAMENTO, CA 95816-3503
Phone number: 916-422-4519
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Mailing Address
EDGAR CAMARILLO ORTIZ RADT1
500 22ND ST
SACRAMENTO, CA 95816-3503
Phone number:
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