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1548768963
LEANDRO AARON VIDAL
SAN DIEGO, CA
NPI
1548768963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-01-31
Last Update Date
2018-03-17
Business Address
LEANDRO AARON VIDAL
625 PENNSYLVANIA AVE
SAN DIEGO, CA 92103-4321
Phone number: 858-603-4812
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Mailing Address
LEANDRO AARON VIDAL
2344 GREENBRIAR DR UNIT A
CHULA VISTA, CA 91915-1119
Phone number: 619-708-5003
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