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1144697871
LISANDRO VILLANUEVA
SANTA ROSA, CA
NPI
1144697871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-08-28
Last Update Date
2017-01-04
Business Address
Mr. LISANDRO VILLANUEVA B.A.
7425 RANCHO LOS GUILICOS RD DEPT. B
SANTA ROSA, CA 95409-6519
Phone number: 707-565-8681
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Mailing Address
Mr. LISANDRO VILLANUEVA B.A.
7425 RANCHO LOS GUILICOS RD DEPT. B
SANTA ROSA, CA 95409-6519
Phone number: 707-565-8681
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