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1699340638
JOHN PAUL CROCKETT
PHOENIX, AZ
NPI
1699340638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ LAC-18633)
Enumeration Date
2021-05-21
Last Update Date
2021-05-21
Business Address
JOHN PAUL CROCKETT LAC
9225 N 3RD ST STE 102
PHOENIX, AZ 85020-2455
Phone number: 480-531-6636
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Mailing Address
JOHN PAUL CROCKETT LAC
9225 N 3RD ST STE 102
PHOENIX, AZ 85020-2455
Phone number: 480-531-6636
Copy
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