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1720106586
THEODORE WALKER
EL CAJON, CA
NPI
1720106586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2007-03-27
Last Update Date
2011-08-22
Business Address
MR. THEODORE WALKER
545 N MAGNOLIA AVE
EL CAJON, CA 92020-3608
Phone number: 619-579-0947
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Mailing Address
MR. THEODORE WALKER
2985 EUCLID AVE APT 30
SAN DIEGO, CA 92105-3693
Phone number: 619-787-3523
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