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1972257491
EDGAR LEDEZMA GALLO
SACRAMENTO, CA
NPI
1972257491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-02-04
Last Update Date
2022-02-04
Business Address
EDGAR LEDEZMA GALLO
3820 AUBURN BLVD STE 100
SACRAMENTO, CA 95821-2124
Phone number: 916-300-6576
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Mailing Address
EDGAR LEDEZMA GALLO
3469 W BENJAMIN HOLT DR APT 425
STOCKTON, CA 95219-3546
Phone number: 209-323-0167
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