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1235367079
CASEY RIDER
OAKLAND, CA
NPI
1235367079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 11221)
Enumeration Date
2009-07-01
Last Update Date
2022-01-03
Business Address
Mr. CASEY RIDER
280 W MACARTHUR BLVD
OAKLAND, CA 94611-5642
Phone number: 510-752-1000
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Mailing Address
Mr. CASEY RIDER
36 ALTA VISTA WAY
SAN RAFAEL, CA 94901-3517
Phone number: 415-465-5765
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