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1093165961
LUCERO COSGROVE
SAN LUIS OBISPO, CA
NPI
1093165961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-06-21
Last Update Date
2016-06-21
Business Address
-- LUCERO COSGROVE
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4275
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Mailing Address
-- LUCERO COSGROVE
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4275
Copy
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