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1609363993
JONATHAN DAVID LEOPOLDO
POMPANO BEACH, FL
NPI
1609363993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-04-23
Last Update Date
2018-04-23
Business Address
Mr. JONATHAN DAVID LEOPOLDO BA
380 SW 12TH AVE
POMPANO BEACH, FL 33069-3502
Phone number: 954-782-9774
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Mailing Address
Mr. JONATHAN DAVID LEOPOLDO BA
380 SW 12TH AVE
POMPANO BEACH, FL 33069-3502
Phone number: 954-782-9774
Copy
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