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1164021507
ALEXANDER JONATHAN MARK COOK
CHICO, CA
NPI
1164021507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-10-17
Last Update Date
2020-10-17
Business Address
ALEXANDER JONATHAN MARK COOK
592 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-891-2775
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Mailing Address
ALEXANDER JONATHAN MARK COOK
465 CALIFORNIA ST
GRIDLEY, CA 95948-2811
Phone number: 530-570-6934
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