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1104649375
HEIDI SHAW
SAN LUIS OBISPO, CA
NPI
1104649375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-11-05
Last Update Date
2024-11-05
Business Address
HEIDI SHAW
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401-8750
Phone number: 805-704-6252
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Mailing Address
HEIDI SHAW
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401-8750
Phone number: 805-704-6252
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