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1497439053
RUDY DOMINGO DEANDA
OAKLAND, CA
NPI
1497439053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA R1484390922)
Enumeration Date
2023-06-14
Last Update Date
2024-09-03
Business Address
RUDY DOMINGO DEANDA RADT1
280 17TH ST
OAKLAND, CA 94612-4124
Phone number: 510-238-5020
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Mailing Address
RUDY DOMINGO DEANDA RADT1
280 17TH ST
OAKLAND, CA 94612-4124
Phone number: 510-238-5020
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