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1609359256
LEOPOLDO EZETA
CHULA VISTA, CA
NPI
1609359256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-09-10
Last Update Date
2022-10-26
Business Address
LEOPOLDO EZETA
865 3RD AVE STE 112
CHULA VISTA, CA 91911-1300
Phone number: 619-271-7992
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Mailing Address
LEOPOLDO EZETA
865 3RD AVE STE 112
CHULA VISTA, CA 91911-1300
Phone number: 619-271-7992
Copy
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