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1568768034
LEO ALAMILLO MEDINA
VENTURA, CA
NPI
1568768034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-02-01
Last Update Date
2012-03-06
Business Address
Mr. LEO ALAMILLO MEDINA
24 E MAIN ST
VENTURA, CA 93001-2660
Phone number: 805-652-6919
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Mailing Address
Mr. LEO ALAMILLO MEDINA
24 E MAIN ST
VENTURA, CA 93001-2660
Phone number: 805-652-6919
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