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1255891909
DANTENELLO LEONEL VELASQUEZ
FOWLER, CA
NPI
1255891909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA SUDRC18720)
Enumeration Date
2019-03-20
Last Update Date
2024-07-26
Business Address
DANTENELLO LEONEL VELASQUEZ
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
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Mailing Address
DANTENELLO LEONEL VELASQUEZ
311 E MERCED ST
FOWLER, CA 93625-2316
Phone number: 559-892-9452
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