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1265893770
JUAN ESCAMILLA
RIVERSIDE, CA
NPI
1265893770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-10
Last Update Date
2017-04-24
Business Address
-- JUAN ESCAMILLA
6711 ARLINGTON AVE
RIVERSIDE, CA 92504-1955
Phone number: 951-742-6380
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Mailing Address
-- JUAN ESCAMILLA
790 VIA LATA STE 300
COLTON, CA 92324-3978
Phone number: 909-433-0445
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