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1588321996
IVAN LEONARDO CHAVEZ
SAN JOSE, CA
NPI
1588321996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-19
Last Update Date
2021-11-19
Business Address
IVAN LEONARDO CHAVEZ
800 N 1ST ST
SAN JOSE, CA 95112-6312
Phone number: 408-299-0469
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Mailing Address
IVAN LEONARDO CHAVEZ
800 N 1ST ST
SAN JOSE, CA 95112-6312
Phone number: 408-299-0462
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