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Individual

MR. ROBERT CHACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.O.

Contact information

Practice address
2300 KNOLL DR STE D, VENTURA, CA 93003-8058
(805) 658-1388
(805) 658-2636
Mailing address
2300 KNOLL DR STE D, VENTURA, CA 93003-8058
(805) 658-1388
(805) 658-2636

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Enumeration date
04/24/2008
Last updated
04/24/2008
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