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1598582900
OCTAVIS TYRE HENRY
OAKLAND, CA
NPI
1598582900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
Mr. OCTAVIS TYRE HENRY
3800 COOLIDGE AVE
OAKLAND, CA 94602-3311
Phone number: 510-472-2377
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Mailing Address
Mr. OCTAVIS TYRE HENRY
3800 COOLIDGE AVE
OAKLAND, CA 94602-3311
Phone number:
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