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1629139464
CEPHUS RONNELL FOWLER
VALLEJO, CA
NPI
1629139464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA MCF29966)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Mr. CEPHUS RONNELL FOWLER LMFT
228 BROADWAY ST
VALLEJO, CA 94590-4519
Phone number: 707-553-5331
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Mailing Address
Mr. CEPHUS RONNELL FOWLER LMFT
1657 MORAGA DR
FAIRFIELD, CA 94534-3320
Phone number: 707-553-5331
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