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1053518050
CARSON DEMETRUIS BROOKS
COVINA, CA
NPI
1053518050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-07-02
Last Update Date
2007-09-12
Business Address
Mr. CARSON DEMETRUIS BROOKS
1126 N GRAND AVE
COVINA, CA 91724-1551
Phone number: 626-967-1667
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Mailing Address
Mr. CARSON DEMETRUIS BROOKS
6456 YOUNGSTOWN LN
SAN BERNARDINO, CA 92407-2161
Phone number: 909-887-4037
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