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1013069806
THEODORE JOHN CHACONAS
OAKLAND, CA
NPI
1013069806
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Other Name
TED JOHN CHACONAS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G065093)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. THEODORE JOHN CHACONAS M.D.
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3237
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Mailing Address
Dr. THEODORE JOHN CHACONAS M.D.
747 52ND ST
OAKLAND, CA 94609-1809
Phone number: 510-428-3237
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