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1114403573
XANDER JACK COOPER
SAN DIEGO, CA
NPI
1114403573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: 130974)
Enumeration Date
2018-07-18
Last Update Date
2022-05-09
Business Address
XANDER JACK COOPER
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110-3844
Phone number: 619-276-8112
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Mailing Address
XANDER JACK COOPER
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110-3844
Phone number: 619-276-8112
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