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1437699865
IVAN MANUEL CAMPOS
APPLE VALLEY, CA
NPI
1437699865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: CA 25934)
Enumeration Date
2017-03-04
Last Update Date
2021-07-13
Business Address
IVAN MANUEL CAMPOS
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307-1221
Phone number: 760-552-6700
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Mailing Address
IVAN MANUEL CAMPOS
17800 US HIGHWAY 18
APPLE VALLEY, CA 92307-1221
Phone number: 760-552-6700
Copy
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