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1104319953
LEOPOLDO MEDINA
SAN JOSE, CA
NPI
1104319953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-07
Last Update Date
2018-06-07
Business Address
LEOPOLDO MEDINA
1400 PARKMOOR AVE
SAN JOSE, CA 95126-3797
Phone number: 408-971-9822
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Mailing Address
LEOPOLDO MEDINA
1400 PARKMOOR AVE
SAN JOSE, CA 95126-3797
Phone number:
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