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1699247239
GUSTAVO RAUL LEDESMA
FRESNO, CA
NPI
1699247239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA CI4580615)
Enumeration Date
2018-12-20
Last Update Date
2024-10-10
Business Address
GUSTAVO RAUL LEDESMA
1310 M ST
FRESNO, CA 93721-1808
Phone number: 559-264-2700
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Mailing Address
GUSTAVO RAUL LEDESMA
1141 F ST
REEDLEY, CA 93654-3028
Phone number: 559-393-3374
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