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1477126746
FABIAN LEON BEDOYA
SAN ANTONIO, TX
NPI
1477126746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 38935)
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
FABIAN LEON BEDOYA
9216 DUBLIN GRN
SAN ANTONIO, TX 78254-5432
Phone number: 210-792-9942
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Mailing Address
FABIAN LEON BEDOYA
9216 DUBLIN GRN
SAN ANTONIO, TX 78254-5432
Phone number: 210-792-9942
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