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Individual

MR. DAVID RYAN LEAVITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
155 W BOBIER DR, VISTA, CA 92083-1901
(760) 630-4065
Mailing address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/29/2008
Last updated
03/16/2011
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