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1356749832
JUSTINE E WALDRAM
SAN LUIS OBISPO, CA
NPI
1356749832
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Former Name
JUSTINE E MCMANIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
(Licence: CA LM 406)
Enumeration Date
2014-12-15
Last Update Date
2014-12-15
Business Address
MRS. JUSTINE E WALDRAM L.M.
4251 S HIGUERA ST STE 300
SAN LUIS OBISPO, CA 93401-7741
Phone number: 805-994-0074
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Mailing Address
MRS. JUSTINE E WALDRAM L.M.
4251 S HIGUERA ST STE 300
SAN LUIS OBISPO, CA 93401-7741
Phone number: 805-994-0074
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