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1871737247
TEDDY DESHA MCDONALD
SAN JOSE, CA
NPI
1871737247
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Other Name
TED DESHA MCDONALD
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-04-28
Last Update Date
2009-04-28
Business Address
Mr. TEDDY DESHA MCDONALD
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
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Mailing Address
Mr. TEDDY DESHA MCDONALD
6088 MONTEREY HWY APT 302
SAN JOSE, CA 95138-1758
Phone number: 209-509-6842
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