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1255904090
EDWIN CHAVOUS
SANTA MONICA, CA
NPI
1255904090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-07-20
Last Update Date
2023-07-13
Business Address
EDWIN CHAVOUS
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
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Mailing Address
EDWIN CHAVOUS
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
Copy
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