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Individual

MR. JORGE LUIS LEON SANZO

Active
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Individual

MR. JORGE LUIS LEON SANZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
Primary
376J00000X
Homemaker

Other

Enumeration date
06/20/2019
Last updated
06/20/2019
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