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1366759607
CHARLES EDWARD JIMENEZ
CAMARILLO, CA
NPI
1366759607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
-- CHARLES EDWARD JIMENEZ
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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Mailing Address
-- CHARLES EDWARD JIMENEZ
1360 S E ST
OXNARD, CA 93033-3151
Phone number: 805-383-3669
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