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1174075279
LEO NGUYEN
RIVERSIDE, CA
NPI
1174075279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 61761)
Enumeration Date
2016-10-25
Last Update Date
2016-10-25
Business Address
-- LEO NGUYEN LCSW
1777 ATLANTA AVE STE G3
RIVERSIDE, CA 92507-0514
Phone number: 951-782-4479
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Mailing Address
-- LEO NGUYEN LCSW
14301 YORBA ST
TUSTIN, CA 92780-2350
Phone number: 714-548-8267
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