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1730369158
THEODORE MARTIN CANNADY
LOS ANGELES, CA
NPI
1730369158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-11-14
Last Update Date
2008-03-31
Business Address
-- THEODORE MARTIN CANNADY
550 S VERMONT AVE
LOS ANGELES, CA 90020-1912
Phone number: 213-738-6153
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Mailing Address
-- THEODORE MARTIN CANNADY
5808 SAN VICENTE BLVD
LOS ANGELES, CA 90019-6624
Phone number: 323-934-3362
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