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1194231910
JAIME LEYVA
FRESNO, CA
NPI
1194231910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-15
Last Update Date
2018-12-18
Business Address
JAIME LEYVA
1310 M ST
FRESNO, CA 93721-1808
Phone number: 559-264-2700
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Mailing Address
JAIME LEYVA
795 FLETCHER LN
HAYWARD, CA 94544-1008
Phone number: 510-247-8300
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