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1427193374
EDGAR TILLISON
COMPTON, CA
NPI
1427193374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA IMF 38333)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Mr. EDGAR TILLISON
1055 W VICTORIA ST
COMPTON, CA 90220-5804
Phone number: 310-868-5379
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Mailing Address
Mr. EDGAR TILLISON
2601 E. VICTORIA STREET SPC #221
COMPTON, CA 90220-7027
Phone number: 310-631-1243
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