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1023898871
THEODOR DMITRY OBUKHOV
OAKLAND, CA
NPI
1023898871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-09-29
Last Update Date
2023-09-29
Business Address
THEODOR DMITRY OBUKHOV
1520 79TH AVE
OAKLAND, CA 94621-2644
Phone number: 408-493-9788
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Mailing Address
THEODOR DMITRY OBUKHOV
1880 FAIRWAY DR
SAN LEANDRO, CA 94577-5629
Phone number:
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