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1588901821
IVAN LEANO
SAN DIEGO, CA
NPI
1588901821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-01-07
Last Update Date
2015-09-14
Business Address
-- IVAN LEANO
2535 KETTNER BLVD
SAN DIEGO, CA 92101-1250
Phone number: 619-615-0701
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Mailing Address
-- IVAN LEANO
9445 FARNHAM ST SUITE 100
SAN DIEGO, CA 92123-1308
Phone number: 858-380-4676
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