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Individual

LEO MUNOZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6739 W CACTUS RD, PEORIA, AZ 85381-5311
(833) 242-0100
Mailing address
35578 N GOLDRUSH LN, QUEEN CREEK, AZ 85142-7805

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-000300
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118168
AZ
Enumeration date
03/13/2007
Last updated
11/30/2022
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