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1801301650
GLENN JOSE DELEON
PASADENA, CA
NPI
1801301650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-12-01
Last Update Date
2017-12-01
Business Address
GLENN JOSE DELEON
1680 N FAIR OAKS AVE
PASADENA, CA 91103-1642
Phone number: 626-798-0884
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Mailing Address
GLENN JOSE DELEON
15636 AMAR RD APT G
LA PUENTE, CA 91744-2917
Phone number: 949-204-6204
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