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1194502948
SAMUEL JOSEPH MORENO
SAN LUIS OBISPO, CA
NPI
1194502948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-09-13
Last Update Date
2023-12-13
Business Address
SAMUEL JOSEPH MORENO
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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Mailing Address
SAMUEL JOSEPH MORENO
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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