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1164603569
ALICE ROSE BODLAK
SAN LUIS OBISPO, CA
NPI
1164603569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: CA RN484275)
Enumeration Date
2007-11-14
Last Update Date
2007-11-14
Business Address
-- ALICE ROSE BODLAK RN
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4534
Phone number: 805-781-1744
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Mailing Address
-- ALICE ROSE BODLAK RN
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4534
Phone number: 805-781-1744
Copy
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