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Individual
MR. LUIS CAMACHO
Active
Individual
MR. LUIS CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. F-AAA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002050A
IN
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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