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1326356064
BETTINA L WISE
SAN LUIS OBISPO, CA
NPI
1326356064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2010-09-15
Last Update Date
2010-09-15
Business Address
Mrs. BETTINA L WISE
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-788-2524
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Mailing Address
Mrs. BETTINA L WISE
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-788-2524
Copy
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