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1356620520
JARON ANTHONY LEAVELL
FRESNO, CA
NPI
1356620520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-08-05
Last Update Date
2011-08-05
Business Address
Mr. JARON ANTHONY LEAVELL
3435 W SHAW AVE STE. 101
FRESNO, CA 93711-3234
Phone number: 559-275-1784
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Mailing Address
Mr. JARON ANTHONY LEAVELL
3435 W SHAW AVE STE. 101
FRESNO, CA 93711-3234
Phone number: 559-275-1784
Copy
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