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1104512482
TAKIESHA CHESTNUT
OAKLAND, CA
NPI
1104512482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
TAKIESHA CHESTNUT
2415 VALDEZ ST UNIT 601
OAKLAND, CA 94612-3625
Phone number: 510-910-4449
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Mailing Address
TAKIESHA CHESTNUT
904 W RIVERSIDE AVE # 1137
SPOKANE, WA 99201-1011
Phone number: 831-331-8529
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