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1821117813
MARTIN COSGRO
SAN LUIS OBISPO, CA
NPI
1821117813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Psy13431)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Dr. MARTIN COSGRO Ph.D.
3220 S HIGUERA ST STE. 220
SAN LUIS OBISPO, CA 93401-6987
Phone number: 805-547-0419
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Mailing Address
Dr. MARTIN COSGRO Ph.D.
1654 CRESTVIEW CIR
SAN LUIS OBISPO, CA 93401-6016
Phone number: 805-547-0419
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