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1003064189
INDIA COOKE
SAN MARCOS, CA
NPI
1003064189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-03
Last Update Date
2008-09-03
Business Address
-- INDIA COOKE
1560 CAPALINA RD
SAN MARCOS, CA 92069-1288
Phone number: 760-744-2104
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Mailing Address
-- INDIA COOKE
1560 CAPALINA RD
SAN MARCOS, CA 92069-1288
Phone number: 760-744-2104
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