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1952887648
THEODORE ANDREW GRANT-FUNCK
SAN LEANDRO, CA
NPI
1952887648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-07-16
Last Update Date
2018-07-16
Business Address
THEODORE ANDREW GRANT-FUNCK
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
THEODORE ANDREW GRANT-FUNCK
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
Copy
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