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1326505850
JORDAN BOUSKOS
SAN LUIS OBISPO, CA
NPI
1326505850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
JORDAN BOUSKOS
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-503-0350
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Mailing Address
JORDAN BOUSKOS
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-503-0350
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