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1205334893
JESUS LEIJA
LOS ANGELES, CA
NPI
1205334893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-29
Last Update Date
2018-01-29
Business Address
JESUS LEIJA
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022-2104
Phone number: 866-590-6411
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Mailing Address
JESUS LEIJA
5326 E BEVERLY BLVD
LOS ANGELES, CA 90022-2104
Phone number:
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