KEVIN HURLEY BASCOM

SAN LUIS OBISPO, CA
NPI1184850125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-06-04
Last Update Date2009-06-04
Business Address
Mr. KEVIN HURLEY BASCOM
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401-5039
Phone number: 805-541-5144
Mailing Address
Mr. KEVIN HURLEY BASCOM
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-541-5144
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