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1568602829
TYRONE CROSS
SANTA MARIA, CA
NPI
1568602829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA PT31258)
Enumeration Date
2009-02-26
Last Update Date
2009-04-07
Business Address
-- TYRONE CROSS LPT
212 CARMEN LN STE 201
SANTA MARIA, CA 93458-7771
Phone number: 805-739-8706
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Mailing Address
-- TYRONE CROSS LPT
15 GREEN CT
PASO ROBLES, CA 93446-4415
Phone number: 805-739-8706
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