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1457801979
WYNN LINDAHL GROTEGUT
FREMONT, CA
NPI
1457801979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA 46-1305562)
Enumeration Date
2016-10-07
Last Update Date
2020-01-27
Business Address
WYNN LINDAHL GROTEGUT
39210 STATE ST
FREMONT, CA 94538-1456
Phone number: 510-894-4135
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Mailing Address
WYNN LINDAHL GROTEGUT
3513 CHABLIS CIR
SAN JOSE, CA 95132-3013
Phone number: 925-699-5900
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