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1518248640
EDWIN CHARLES BROADNAX
RIVERSIDE, CA
NPI
1518248640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041S0200X Social Worker, School
(Licence: CA 104100000X)
Enumeration Date
2011-09-02
Last Update Date
2011-09-02
Business Address
-- EDWIN CHARLES BROADNAX
3801 UNIVERSITY AVENUE, SUITE 400
RIVERSIDE, CA 92501
Phone number: 951-955-7108
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Mailing Address
-- EDWIN CHARLES BROADNAX
3801 UNIVERSITY AVENUE, SUITE 400
RIVERSIDE, CA 92501
Phone number: 951-955-7108
Copy
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