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1134588866
SUSAN SO
SAN LUIS OBISPO, CA
NPI
1134588866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95053167)
Enumeration Date
2016-02-23
Last Update Date
2022-07-21
Business Address
-- SUSAN SO RN
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4712
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Mailing Address
-- SUSAN SO RN
173 S 11TH ST
GROVER BEACH, CA 93433-2109
Phone number: 530-552-9787
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