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1952602047
MATTHEW HARRISON COOPER
LONG BEACH, CA
NPI
1952602047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ri-C1010291043)
Enumeration Date
2010-11-05
Last Update Date
2010-11-05
Business Address
Mr. MATTHEW HARRISON COOPER
1601 E 10TH ST
LONG BEACH, CA 90813-5035
Phone number: 562-930-0565
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Mailing Address
Mr. MATTHEW HARRISON COOPER
1601 E 10TH ST
LONG BEACH, CA 90813-5035
Phone number: 562-930-0565
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