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1003235904
LAUREN ELVIRA MIRABDOLLAH
SAN LUIS OBISPO, CA
NPI
1003235904
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Former Name
LAUREN ELVIRA FOSTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95000334)
Enumeration Date
2014-04-08
Last Update Date
2015-08-24
Business Address
LAUREN ELVIRA MIRABDOLLAH N.P.
77 CASA ST SUITE 201-204
SAN LUIS OBISPO, CA 93405-5803
Phone number: 805-269-1500
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Mailing Address
LAUREN ELVIRA MIRABDOLLAH N.P.
2050 S BLOSSER RD
SANTA MARIA, CA 93458-7310
Phone number: 805-361-8028
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