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1598051526
JOSE LEONEL BEDOLLA
FRESNO, CA
NPI
1598051526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-06-28
Last Update Date
2011-06-28
Business Address
-- JOSE LEONEL BEDOLLA B.A. (History)
2550 W CLINTON AVE
FRESNO, CA 93705-4201
Phone number: 559-264-7521
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Mailing Address
-- JOSE LEONEL BEDOLLA B.A. (History)
2550 W CLINTON AVE
FRESNO, CA 93705-4201
Phone number: 559-264-7521
Copy
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