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1366128688
RISA OCTAVIA MARBLE
SAN LUIS OBISPO, CA
NPI
1366128688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
RISA OCTAVIA MARBLE
784 HIGH STREET
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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Mailing Address
RISA OCTAVIA MARBLE
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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