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1033351358
ROY TIDWELL
SAN FRANCISCO, CA
NPI
1033351358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-04-01
Last Update Date
2009-04-01
Business Address
-- ROY TIDWELL
1326 4TH AVE
SAN FRANCISCO, CA 94122-2616
Phone number: 415-682-2080
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Mailing Address
-- ROY TIDWELL
106 NORTH EL DORADO STREET APT. # 4
SAN MATEO, CA 94401
Phone number:
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