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1770102964
TIMOTHY LAMONT COATES
GOODYEAR, AZ
NPI
1770102964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-04-08
Last Update Date
2020-04-08
Business Address
TIMOTHY LAMONT COATES
15827 W MONROE ST
GOODYEAR, AZ 85338-6896
Phone number: 602-931-8721
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Mailing Address
TIMOTHY LAMONT COATES
15827 W MONROE ST
GOODYEAR, AZ 85338-6896
Phone number: 602-931-8721
Copy
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