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1669014155
GERARDO L COSSIO
INDIO, CA
NPI
1669014155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-16
Last Update Date
2019-11-22
Business Address
Mr. GERARDO L COSSIO
47825 OASIS ST
INDIO, CA 92201-6950
Phone number: 760-863-8455
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Mailing Address
Mr. GERARDO L COSSIO
47825 OASIS ST
INDIO, CA 92201-6950
Phone number: 760-863-8455
Copy
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