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1154818094
THEODORE GRUNT
SANTA BARBARA, CA
NPI
1154818094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-04-17
Last Update Date
2018-04-26
Business Address
THEODORE GRUNT
4444 CALLE REAL
SANTA BARBARA, CA 93110-1002
Phone number: 805-681-5220
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Mailing Address
THEODORE GRUNT
172 KINGSTON AVE APT C
GOLETA, CA 93117-2323
Phone number: 805-967-3207
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