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Individual

MR. LUIS CAMACHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A. F-AAA

Contact information

Practice address
2011 N. LOCUST CT., BLOOMINGTON, IN 47401
(812) 320-3817
Mailing address
2011 N LOCUST CT, BLOOMINGTON, IN 47401-6755

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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