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1164935698
CEDRIC LAMAR KNOX
SAN RAFAEL, CA
NPI
1164935698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
CEDRIC LAMAR KNOX
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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Mailing Address
CEDRIC LAMAR KNOX
603 D ST
SAN RAFAEL, CA 94901-3719
Phone number: 415-454-9444
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