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1710146477
GLENN ALLEN COOKSON
INDIO, CA
NPI
1710146477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-06-06
Last Update Date
2008-06-06
Business Address
-- GLENN ALLEN COOKSON
81880 DOCTOR CARREON BLVD
INDIO, CA 92201-5559
Phone number: 951-663-4842
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Mailing Address
-- GLENN ALLEN COOKSON
81880 DOCTOR CARREON BLVD
INDIO, CA 92201-5559
Phone number: 951-663-4842
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