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1194215327
LEONARD MICHAEL CONRY
ANTIOCH, CA
NPI
1194215327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-05-14
Last Update Date
2018-05-14
Business Address
LEONARD MICHAEL CONRY
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-783-0696
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Mailing Address
LEONARD MICHAEL CONRY
1408 A ST
ANTIOCH, CA 94509-2331
Phone number: 925-783-0696
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