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1477616910
JERRY F LEANDADO
STOCKTON, CA
NPI
1477616910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: CA 39-07)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- JERRY F LEANDADO LVN
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
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Mailing Address
-- JERRY F LEANDADO LVN
6868 BROOK FALLS CIR
STOCKTON, CA 95219-2445
Phone number: 209-956-5754
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