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1023573284
ANTHONY OMAR THOMPSON
CAMARILLO, CA
NPI
1023573284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-02-01
Last Update Date
2019-02-01
Business Address
ANTHONY OMAR THOMPSON
954 GRACIA ST
CAMARILLO, CA 93010-3940
Phone number: 805-889-5215
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Mailing Address
ANTHONY OMAR THOMPSON
954 GRACIA ST
CAMARILLO, CA 93010-3940
Phone number: 805-889-5215
Copy
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