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1255688032
JAVIER MARTIN PANAMENO CAMPOS
REDLANDS, CA
NPI
1255688032
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Former Name
JAVIER MARTIN PANAMENO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 26127)
Enumeration Date
2012-08-10
Last Update Date
2012-08-10
Business Address
Mr. JAVIER MARTIN PANAMENO CAMPOS LCSW
255 TERRACINA BLVD SUITE 204
REDLANDS, CA 92373-4870
Phone number: 909-798-1763
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Mailing Address
Mr. JAVIER MARTIN PANAMENO CAMPOS LCSW
16025 PEACH TREE LN
FONTANA, CA 92337-1010
Phone number: 909-904-0667
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