MARK DOUGLAS BISHOP

SAN LUIS OBISPO, CA
NPI1225196579
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  509248)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
-- MARK DOUGLAS BISHOP
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4711
Mailing Address
-- MARK DOUGLAS BISHOP
10935 SAN MARCOS RD
ATASCADERO, CA 93422-2185
Phone number:
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