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1285461319
VIVIAN SOUL
SAN LUIS OBISPO, CA
NPI
1285461319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2024-09-13
Last Update Date
2024-11-01
Business Address
VIVIAN SOUL
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-440-8141
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Mailing Address
VIVIAN SOUL
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-440-8141
Copy
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