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1093835662
COREY LAMONT TIMBERLAKE
SAN BERNARDINO, CA
NPI
1093835662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Mr. COREY LAMONT TIMBERLAKE BA.
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1251
Phone number: 909-266-2700
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Mailing Address
Mr. COREY LAMONT TIMBERLAKE BA.
11814 KETTERING CT
MORENO VALLEY, CA 92557-6135
Phone number: 909-266-2700
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