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1285211029
CHARLTON CARLYLE CAMPBELL
CHULA VISTA, CA
NPI
1285211029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
CHARLTON CARLYLE CAMPBELL
330 MOSS ST
CHULA VISTA, CA 91911-2005
Phone number: 619-585-4221
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Mailing Address
CHARLTON CARLYLE CAMPBELL
330 MOSS ST
CHULA VISTA, CA 91911-2005
Phone number: 619-585-4221
Copy
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