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1104164813
KIM MARIE JOLICOEUR
SAN LUIS OBISPO, CA
NPI
1104164813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 3001-i)
Enumeration Date
2013-01-30
Last Update Date
2013-01-30
Business Address
-- KIM MARIE JOLICOEUR
3350 EDUCATION DR
SAN LUIS OBISPO, CA 93405-7816
Phone number: 805-543-7732
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Mailing Address
-- KIM MARIE JOLICOEUR
5353 OLMEDA AVE 1
ATASCADERO, CA 93422-3368
Phone number: 805-591-0776
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