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1790908671
JIMMY EDGEWORTH
STOCKTON, CA
NPI
1790908671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
-- JIMMY EDGEWORTH
1117 S GRANT ST
STOCKTON, CA 95206-1626
Phone number: 209-461-6500
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Mailing Address
-- JIMMY EDGEWORTH
8210 S BRIGHT RD
FRENCH CAMP, CA 95231-9759
Phone number: 209-461-6500
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