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Individual

MR. GERARDO LUEVANO I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED.,

Contact information

Practice address
1295 W STATE ST, EL CENTRO, CA 92243-2845
(760) 482-4000
Mailing address
2201 POLK AVE, CALEXICO, CA 92231-4332
(760) 235-0279

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/20/2010
Last updated
05/20/2010
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