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1336543594
MARTHA LEANOS
FRESNO, CA
NPI
1336543594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 208505037)
Enumeration Date
2014-10-17
Last Update Date
2014-10-17
Business Address
-- MARTHA LEANOS
4705 N SONORA AVE STE 113
FRESNO, CA 93722-3965
Phone number: 559-276-7558
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Mailing Address
-- MARTHA LEANOS
4705 N SONORA AVE STE 113
FRESNO, CA 93722-3965
Phone number: 559-276-7558
Copy
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