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1457860413
MICHAEL ANTHONY KAMPHUIS
RIVERSIDE, CA
NPI
1457860413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-09-21
Last Update Date
2017-09-21
Business Address
MICHAEL ANTHONY KAMPHUIS
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-683-6596
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Mailing Address
MICHAEL ANTHONY KAMPHUIS
5870 ARLINGTON AVE
RIVERSIDE, CA 92504-2037
Phone number: 951-683-6596
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