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1225376767
LEONARD WILLIAM OLIVAS
LONG BEACH, CA
NPI
1225376767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RASII-00610311603)
Enumeration Date
2013-01-17
Last Update Date
2013-01-17
Business Address
-- LEONARD WILLIAM OLIVAS
2008 PACIFIC AVE
LONG BEACH, CA 90806-4610
Phone number: 562-591-0011
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Mailing Address
-- LEONARD WILLIAM OLIVAS
5930 JILLSON ST
COMMERCE, CA 90040-2310
Phone number: 323-540-9147
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