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1487992921
SAM COOC
VACAVILLE, CA
NPI
1487992921
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Other Name
SAM COOC
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2013-01-17
Last Update Date
2013-03-27
Business Address
Mr. SAM COOC
1600 CALIFORNIA DR
VACAVILLE, CA 95696
Phone number: 707-449-6504
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Mailing Address
Mr. SAM COOC
PO BOX 2095 ELK GROVE
ELK GROVE, CA 95759-2095
Phone number:
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