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Individual
TYRONE CROSS
Active
Individual
TYRONE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
PT31258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689762486
TELECARE CARES CRISIS RESIDENTIAL
CA
01
—
94-1735271
CARES CRISIS RESIDENTIAL NORTH
CA
Enumeration date
02/26/2009
Last updated
04/07/2009
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