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1912218330
JOSE LUIS LEYVA
VAN NUYS, CA
NPI
1912218330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-30
Last Update Date
2014-01-08
Business Address
-- JOSE LUIS LEYVA
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 828-267-2600
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Mailing Address
-- JOSE LUIS LEYVA
15339 SATICOY ST
VAN NUYS, CA 91406-3345
Phone number: 828-267-2600
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