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1700115433
JOSEPH LESLIE AMOS
CONCORD, CA
NPI
1700115433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RRW 2580)
Enumeration Date
2009-12-08
Last Update Date
2009-12-08
Business Address
Mr. JOSEPH LESLIE AMOS
3024 WILLOW PASS RD
CONCORD, CA 94519-2588
Phone number: 707-322-8295
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Mailing Address
Mr. JOSEPH LESLIE AMOS
11 SEQUOIA CIR
SANTA ROSA, CA 95401-4986
Phone number: 707-322-8295
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