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1114145927
DEXTER AUDRE COLE
LONG BEACH, CA
NPI
1114145927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-04-24
Last Update Date
2008-06-03
Business Address
DEXTER AUDRE COLE
2511 LONG BEACH BLVD
LONG BEACH, CA 90806-3111
Phone number: 562-981-1501
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Mailing Address
DEXTER AUDRE COLE
2511 LONG BEACH BLVD
LONG BEACH, CA 90806-3111
Phone number: 562-981-1501
Copy
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