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1700622693
DARRYL R KNUDSEN
OAKLAND, CA
NPI
1700622693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
Mr. DARRYL R KNUDSEN A.B., M.I.A.
954 60TH ST STE 10
OAKLAND, CA 94608-2369
Phone number: 510-508-6683
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Mailing Address
Mr. DARRYL R KNUDSEN A.B., M.I.A.
954 60TH ST STE 10
OAKLAND, CA 94608-2369
Phone number: 510-835-2505
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