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1790970960
LEON CANNON
SAN JOSE, CA
NPI
1790970960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-09-11
Last Update Date
2007-09-11
Business Address
-- LEON CANNON MFT-I
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
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Mailing Address
-- LEON CANNON MFT-I
2116 ARTHUR AVE
BELMONT, CA 94002-1645
Phone number: 650-303-5142
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