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Individual
LUKE JAMES CAMARILLO
Active
Individual
LUKE JAMES CAMARILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
823814
CA
364S00000X
Clinical Nurse Specialist
823814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38472
THE LATINO COMMISSION ADMINISTRATION
CA
Enumeration date
04/24/2014
Last updated
07/02/2019
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