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1366895898
LAURA LEA BUCKERT
SAN LUIS OBISPO, CA
NPI
1366895898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: CA 492283)
Enumeration Date
2016-07-20
Last Update Date
2016-07-20
Business Address
-- LAURA LEA BUCKERT BSRN, PHN
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4534
Phone number: 805-788-2188
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Mailing Address
-- LAURA LEA BUCKERT BSRN, PHN
981 LAS TUNAS ST
MORRO BAY, CA 93442-2319
Phone number: 805-903-3771
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