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1912533571
THEODORE OWEN ATWOOD
OAKLAND, CA
NPI
1912533571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA 93126)
Enumeration Date
2020-03-16
Last Update Date
2020-03-16
Business Address
THEODORE OWEN ATWOOD
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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Mailing Address
THEODORE OWEN ATWOOD
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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