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1891357471
COYDAREL RASHAD CROOK
LEMON GROVE, CA
NPI
1891357471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
COYDAREL RASHAD CROOK
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 730-361-9465
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Mailing Address
COYDAREL RASHAD CROOK
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: 910-750-6365
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